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Individual

TIMOTHY TAYLOR LOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCABA

Contact information

Practice address
4501 MAGNOLIA COVE DR STE 106A, KINGWOOD, TX 77345-2369
(346) 200-5618
Mailing address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
(346) 200-5618

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-14148
GA

Other

Enumeration date
08/25/2021
Last updated
04/28/2024
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