Individual
MR. ALEX WITARSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
11101 CRAZY WELL DR, AUSTIN, TX 78717-4679
(617) 462-8178
Mailing address
11101 CRAZY WELL DR, AUSTIN, TX 78717-4679
(617) 462-8178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5006
—
Other
Enumeration date
05/07/2009
Last updated
09/01/2015
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