Individual
LYZANDRA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8810 N MACARTHUR BLVD, IRVING, TX 75063-8056
(469) 788-8583
Mailing address
8810 N MACARTHUR BLVD, IRVING, TX 75063-8056
(469) 788-8583
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55098
CA
Other
Enumeration date
01/03/2018
Last updated
12/20/2024
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