Individual
HALLIE RACHEL FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
120 PRECISION # A100A300, BUDA, TX 78610-5925
(512) 354-4300
Mailing address
9901 N CAPITAL OF TEXAS HWY STE 250, AUSTIN, TX 78759-5977
(512) 887-2126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12474089
BOARD CERTIFIED BEHAVIOR ANALYST
TX
Enumeration date
04/25/2022
Last updated
10/04/2024
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