Individual
AISLINN POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6211 SOUTHWEST BLVD, BENBROOK, TX 76132-1080
(817) 249-8100
Mailing address
6211 SOUTHWEST BLVD, BENBROOK, TX 76132-1080
(817) 249-8100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-103602
TX
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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