Individual
AVERY VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
(626) 345-6455
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y8987484
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/23/2023
Last updated
06/24/2024
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