Individual
ANUSHA SADRUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5340 N TARRANT PKWY, FORT WORTH, TX 76244-6293
(682) 900-1444
(682) 900-1444
Mailing address
5340 N TARRANT PKWY, FORT WORTH, TX 76244-6293
(682) 900-1444
(682) 900-1444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193241
TX
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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