Individual
LIAT DEBRA SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
14675 MIDWAY RD STE 208, ADDISON, TX 75001-3907
(903) 630-7077
(903) 630-6172
Mailing address
120 E SOUTH TOWN DR, TYLER, TX 75703-4747
(903) 630-7077
(903) 630-6172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29135
TX
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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