Individual
ANDRIA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
11661 PRESTON RD, DALLAS, TX 75230-2745
(214) 251-8757
Mailing address
11661 PRESTON RD, DALLAS, TX 75230-2745
(605) 220-6734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3301
TX
103K00000X
Behavior Analyst
—
GA
Other
Enumeration date
01/03/2020
Last updated
03/21/2020
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