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Individual

MRS. KIMBERLY ELLISON DE JONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
15905 CHATEAU AVE, AUSTIN, TX 78734-2639
(240) 418-2233
(301) 263-6870
Mailing address
15905 CHATEAU AVENUE, AUSTIN, TX 78734
(240) 418-2233
(301) 263-6870

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/22/2012
Last updated
04/18/2014
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