Individual
KYLE ROBERT POTTENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 WILLIAMS DR BLDG D, GEORGETOWN, TX 78628-3612
(512) 920-1611
Mailing address
317 LEANNE DR, GEORGETOWN, TX 78633-5021
(512) 876-4274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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