Individual
KOREE LORRAINE INCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
903 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 228-9923
Mailing address
1510 GREENLAWN BLVD, ROUND ROCK, TX 78664-7072
(512) 344-9216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42636
TX
106S00000X
Behavior Technician
RBT-15-04796
—
Other
Enumeration date
10/25/2018
Last updated
06/26/2020
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