Individual
ANDREA HEAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 ELMHURST, KYLE, TX 78640-5981
(737) 248-7042
(737) 248-7042
Mailing address
207 ELMHURST, KYLE, TX 78640-5981
(737) 248-7042
(737) 248-7042
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-133267
TX
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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