Individual
KIMBERLEY GRAHAM JARUTOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2525 LADD ST BLDG 3850, LACKLAND A F B, TX 78236-5308
(210) 289-7686
(186) 640-3798
Mailing address
1438 COUNTY ROAD 314, FLORESVILLE, TX 78114-3340
(210) 289-7686
(186) 640-3798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-12822
BCBA CERTIFICATE NUMBER
TX
Enumeration date
04/14/2013
Last updated
04/14/2013
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