Individual
JUSTIN RAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA, BCBA
Contact information
Practice address
4001 N MAYS ST STE 100, ROUND ROCK, TX 78665-2735
(512) 808-9691
Mailing address
4001 N MAYS ST STE 100, ROUND ROCK, TX 78665-2735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4476
TX
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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