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Individual

CHRISTOPHER JACK ATCHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(855) 782-7822
Mailing address
16800 DALLAS PKWY STE 200, DALLAS, TX 75248-1961

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-18-59611
BACB
Enumeration date
02/15/2019
Last updated
03/01/2021
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