Organization
CKC HOLDINGS LLC
Active
Other names
Cornerstone Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG PORTER (ADMINISTRATOR)
(972) 237-0100
Entity
Organization
Contact information
Practice address
1000 W CROSBY RD STE 136, CARROLLTON, TX 75006-6904
(972) 237-0100
(972) 237-0101
Mailing address
1000 W CROSBY RD STE 136, CARROLLTON, TX 75006-6904
(972) 237-0100
(972) 237-0101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
03/01/2022
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