Individual
MRS. MARY LENSGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
400 E ROYAL LN STE 290, IRVING, TX 75039-3602
(855) 832-6727
Mailing address
3040 BEDFORD RD APT 704, BEDFORD, TX 76021-5136
(682) 248-5637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB323978
TX
106S00000X
Behavior Technician
16-14000
TX
Other
Enumeration date
09/28/2018
Last updated
09/07/2023
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