Individual
KASSANDRA PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1702 N COLLINS BLVD STE 250, RICHARDSON, TX 75080-3655
(469) 607-9500
Mailing address
16800 DALLAS PKWY STE 200, DALLAS, TX 75248-1961
(940) 300-7606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
RBT-17-40405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-17-40405
BACB
—
Enumeration date
02/13/2019
Last updated
07/22/2022
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