Individual
MISS ASHLEY NECOLE ALCALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 REGENCY PKWY, MANSFIELD, TX 76063-5638
(682) 400-0305
Mailing address
201 REGENCY PKWY, MANSFIELD, TX 76063-5638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-79976
TX
Other
Enumeration date
08/09/2019
Last updated
10/06/2020
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