Individual
BAILEY DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6916 VISTA RIDGE CT, FORT WORTH, TX 76132-4553
(512) 954-5194
Mailing address
6916 VISTA RIDGE CT, FORT WORTH, TX 76132-4553
(512) 954-5194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
261092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261092
BACB
TX
Enumeration date
08/11/2015
Last updated
08/11/2015
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