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Individual

LYNISHA FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
230 S NOLEN DR BLDG 3, SOUTHLAKE, TX 76092-8078
(817) 402-8250
Mailing address
2437 BUELINGO LN, FORT WORTH, TX 76131-1640
(340) 513-7269

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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