Individual
MYKAELA LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3301 N 3RD ST, ABILENE, TX 79603-7054
(325) 650-4735
Mailing address
1502 N 18TH ST, ABILENE, TX 79601-2835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5561
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/25/2017
Last updated
09/15/2025
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