Individual
ASHLYNN NUSSBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 W LAMBERTH RD STE 100, SHERMAN, TX 75092-5181
(254) 249-6530
Mailing address
443 GEORGE RD, HOWE, TX 75459-3538
(209) 923-0156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242464
TX
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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