Individual
CARROLINA ANTONIA CASAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6211 SOUTHWEST BLVD, BENBROOK, TX 76132-1080
(855) 782-7822
Mailing address
6211 SOUTHWEST BLVD, BENBROOK, TX 76132-1080
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-348233
TX
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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