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Individual

DONNA KIMBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,LPC,BCBA

Contact information

Practice address
3100 PREMIER DR, 234, IRVING, TX 75063-2661
(817) 249-4807
(817) 249-2215
Mailing address
133 GLENDALE DR, COPPELL, TX 75019-5146
(817) 249-8100
(817) 249-2215

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
71195
TX
103K00000X
Behavior Analyst
Primary
1-13-13303
TX

Other

Enumeration date
08/04/2014
Last updated
07/09/2016
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