Individual
MALORIE KREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 WEST HWY 6, WACO, TX 76712
(903) 312-1315
(866) 790-8027
Mailing address
903 PARKVIEW CIR, HEWITT, TX 76643-3265
(903) 312-1315
(866) 790-8027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12364793
TX
106S00000X
Behavior Technician
RBT21151757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-64793
BACB
TX
01
—
21151757
BACB
TX
Enumeration date
02/03/2021
Last updated
04/25/2023
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