Organization
BELAY ON AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA BOGRAN (BCBA)
(504) 460-1841
Entity
Organization
Contact information
Practice address
1512 GRAPEVINE RDG, PROSPER, TX 75078-1694
(210) 831-2082
Mailing address
1512 GRAPEVINE RDG, PROSPER, TX 75078-1694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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