Organization
AUTISM SOLUTIONS OF GRANBURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDIE KAY HARRINGS RN, BCABA (SOLE MEMBER)
(817) 894-7469
Entity
Organization
Contact information
Practice address
1540 SOUTHTOWN DR STE 113, GRANBURY, TX 76048-2667
(817) 894-7469
Mailing address
1540 SOUTHTOWN DR STE 113, GRANBURY, TX 76048-2667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0114050
TX
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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