Individual
MRS. ELCA MANUELA EBOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 CIVIC CIR STE 210, LEWISVILLE, TX 75067-3635
(401) 837-6078
Mailing address
190 CIVIC CIR STE 210, LEWISVILLE, TX 75067-3635
(401) 837-6078
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S21090278
MA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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