Individual
KOURTNEY SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S LAMAR BLVD APT 2015, AUSTIN, TX 78704-2944
(207) 480-0118
Mailing address
1500 S LAMAR BLVD APT 2015, AUSTIN, TX 78704-2944
(207) 480-0118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2954
TX
Other
Enumeration date
12/18/2019
Last updated
11/27/2023
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