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Organization

EAST TEXAS LEARNING LAB

Active
Other names
The Learning Lab
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTAL CLAY CEO (CEO/DIRECTOR)
(903) 918-3492
Entity
Organization

Contact information

Practice address
1504 W MAIN ST, HENDERSON, TX 75652-2836
(903) 918-3492
Mailing address
1073 COUNTY ROAD 212 E, HENDERSON, TX 75652-4026
(903) 918-3492

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
252Y00000X
Early Intervention Provider Agency
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)

Other

Enumeration date
11/27/2023
Last updated
04/30/2025
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