Organization
BLUEBONNET BEHAVIOR ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CARLIN BCBA (OWNER)
(214) 534-8694
Entity
Organization
Contact information
Practice address
2514 OLD SOUL WAY, WYLIE, TX 75098-1529
(214) 534-8694
Mailing address
2514 OLD SOUL WAY, WYLIE, TX 75098-1529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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