Individual
LISA ANN KENASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3410
(682) 303-9200
Mailing address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3499
(682) 303-9200
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
3052
TX
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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