Individual
AVA LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
175 STONEBRIDGE LN STE 140, SOUTHLAKE, TX 76092-0318
(281) 823-8674
Mailing address
175 STONEBRIDGE LN STE 140, SOUTHLAKE, TX 76092-0318
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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