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Organization

COLLABORATIVE BEHAVIORAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEAH FENNEMA BCBA (EXECUTIVE DIRECTOR)
(817) 937-9804
Entity
Organization

Contact information

Practice address
2150 W NORTHWEST HWY # 114-1045, GRAPEVINE, TX 76051-6989
(817) 937-9804
Mailing address
2150 W NORTHWEST HWY # 114-1045, GRAPEVINE, TX 76051-6989

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/30/2021
Last updated
12/30/2021
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