Individual
JODI LYNN MUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 S CUSTER RD STE 601, MCKINNEY, TX 75072-1453
(972) 839-0207
Mailing address
113 CREEKVIEW LN, CRANDALL, TX 75114-5105
(972) 839-0207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-55495
BCBA
TX
Enumeration date
11/16/2021
Last updated
11/16/2021
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