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MR. MICHAEL SCOTT GAMMAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1625 MARTEL AVE, FORT WORTH, TX 76103-1416
(817) 992-0931
(817) 531-8261
Mailing address
1625 MARTEL AVE, FORT WORTH, TX 76103-1416
(817) 992-0931
(817) 531-8261

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4033
TX

Other

Enumeration date
08/19/2010
Last updated
08/19/2010
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