Individual
HEATHER ELISE RABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6025 SPORTS VILLAGE RD, FRISCO, TX 75033-3505
(214) 687-9374
Mailing address
6025 SPORTS VILLAGE RD, FRISCO, TX 75033-3505
(214) 687-9374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-43288
TX
103K00000X
Behavior Analyst
Primary
5148
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/24/2019
Last updated
03/14/2023
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