Individual
BRYAN SCOTT LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1619 DREAM CATCHER WAY, KRUM, TX 76249-7558
(940) 536-3211
Mailing address
1619 DREAM CATCHER WAY, KRUM, TX 76249-7558
(940) 536-3211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871095323
TEXAS BEHAVIOR SERVICES LLC
TX
Enumeration date
03/03/2018
Last updated
03/03/2018
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