Individual
JENNA CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED.; BCBA
Contact information
Practice address
5133 S FM 549, ROCKWALL, TX 75032-9178
(469) 548-9021
Mailing address
2812 SPENCER CIR, ROYSE CITY, TX 75189-5437
(214) 356-3324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13783
TX
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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