Individual
KRISTAL RENEE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA & BCABA
Contact information
Practice address
5870 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2282
(972) 521-1350
Mailing address
825 PARKSIDE DR, ARGYLE, TX 76226-2164
(714) 222-4429
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
01-12-5088
CA
103K00000X
Behavior Analyst
Primary
1-14-15662
CA
Other
Enumeration date
07/24/2012
Last updated
07/21/2024
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