Individual
LYNETTE QUICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5307 AIRPORT BLVD STE C, AUSTIN, TX 78751-2258
(888) 754-0398
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52257
TX
103K00000X
Behavior Analyst
4325
TX
103K00000X
Behavior Analyst
—
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/22/2021
Last updated
09/22/2021
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