Individual
MINA NICOLLE ULASZEK BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2500 W WILLIAM CANNON DR # 704, AUSTIN, TX 78745-5257
(512) 887-2126
Mailing address
8417 HIGHWAY 16 N, BANDERA, TX 78003-3548
(210) 861-4866
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26090
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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