Individual
JAYA MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3944 RR 620 S STE 201, BEE CAVE, TX 78738-7166
(512) 772-4042
Mailing address
12600 HILL COUNTRY BLVD STE R-100, BEE CAVE, TX 78738-6748
(512) 772-4042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4041
TX
106S00000X
Behavior Technician
RBT-19-77958
TX
Other
Enumeration date
09/30/2020
Last updated
04/15/2021
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