Individual
CARMEN MAXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15140 BADGER RANCH BLVD, WACO, TX 76712-7671
(254) 545-2864
Mailing address
449 CATALINA DR, WACO, TX 76712-3915
(254) 339-4336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-237023
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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