Individual
MIRELLE ELIZABETH DEVENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 S MESA HILLS DR BLDG 3, EL PASO, TX 79912-5568
(855) 223-7123
(619) 374-7134
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3537
TX
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
40201
TX
Other
Enumeration date
03/15/2013
Last updated
08/23/2021
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