Individual
KRISTEN JEAN RAKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
7122 WOOD HOLLOW DR, APT 47, AUSTIN, TX 78731-2427
(612) 636-0754
Mailing address
7122 WOOD HOLLOW DR, APT 47, AUSTIN, TX 78731-2427
(612) 636-0754
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10313
TX
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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