Individual
MS. KYEISHA FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6844 N US HIGHWAY 69, POLLOK, TX 75969-4548
(936) 634-3353
Mailing address
261 CORRIGAN HTS RD, CORRIGAN, TX 75939-8083
(936) 635-1714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5863
TX
Other
Enumeration date
01/31/2024
Last updated
02/26/2024
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