Individual
KELLY MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED BCBA
Contact information
Practice address
601 ELM ST, SANGER, TX 76266-9635
(469) 705-7002
Mailing address
601 ELM ST, SANGER, TX 76266-9635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54714
TX
Other
Enumeration date
02/13/2022
Last updated
03/10/2022
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