Individual
ALICIA BLAIR GAYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E ROYAL LN BLDG 3290, IRVING, TX 75039-3540
(855) 832-6727
Mailing address
400 E ROYAL LN BLDG 3290, IRVING, TX 75039-3540
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-42604
TX
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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