Organization
MAGNOLIA INSTRUCTIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN HOUSEMAN (DIRECTOR)
(512) 266-9620
Entity
Organization
Contact information
Practice address
2903 RR 620 N, BLDG B, AUSTIN, TX 78734
(512) 266-9620
Mailing address
2903 RR 620 N, BLDG B, AUSTIN, TX 78734
(512) 266-9620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13259
—
Other
Enumeration date
11/20/2015
Last updated
06/28/2018
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