Individual
MARY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TENNESSEE WAY STE 400, HENDERSONVILLE, TN 37075-3160
(629) 255-0339
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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