Individual
JAN AIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 335-3022
Mailing address
1015 MCKINLEY ST, BENBROOK, TX 76126-3427
(817) 249-8100
(817) 249-2215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17271
TX
Other
Enumeration date
06/29/2015
Last updated
03/18/2019
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