Individual
VICKI LYNN NIEDERMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5801 GLOUCESTER CT, ARLINGTON, TX 76018-2384
(817) 690-7218
Mailing address
5801 GLOUCESTER CT, ARLINGTON, TX 76018-2384
(817) 690-7218
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1-07-3381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-07-3381
BOARD CERT. BEH.ANALYST
TX
Enumeration date
06/06/2007
Last updated
07/08/2007
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