Organization
CLEAR LAKE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYA KASSAR (MANAGER)
(630) 405-8975
Entity
Organization
Contact information
Practice address
3817 LEDGESTONE CT, RICHARDSON, TX 75082-2775
(630) 405-8975
Mailing address
3817 LEDGESTONE CT, RICHARDSON, TX 75082-2775
(630) 405-8975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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