Individual
MIA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 MLK JR DR, COPPERAS COVE, TX 76522
(469) 510-1191
Mailing address
1315 MLK JR DR, COPPERAS COVE, TX 76522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
43281238
TX
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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