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Individual

ALEJANDRA MACIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872
Mailing address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-275323

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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