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Individual

CAROL FENLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
330 DARBY TRAILS DR, SUGAR LAND, TX 77479-5248
(281) 460-7011
Mailing address
330 DARBY TRAILS DR, SUGAR LAND, TX 77479-5248
(281) 460-7011

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17332
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35-2390742
TX
Enumeration date
06/04/2016
Last updated
06/04/2016
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