Individual
KYNDRA STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S MAIN ST, KELLER, TX 76248-5120
(817) 691-3283
Mailing address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
(817) 952-8917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3766
TX
106S00000X
Behavior Technician
RBT-18-48883
TX
Other
Enumeration date
09/23/2019
Last updated
10/01/2021
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