Individual
KATHERINE HELEN SILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT, M.ED.
Contact information
Practice address
3595 RANCH ROAD 620 S # 220, AUSTIN, TX 78738-6803
(512) 772-4042
Mailing address
7905 TISDALE DR UNIT A, AUSTIN, TX 78757-8414
(804) 523-0825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25675
TX
Other
Enumeration date
09/06/2017
Last updated
05/11/2018
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