Individual
DAMICA MANGAROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 E STAN SCHLUETER LOOP, KILLEEN, TX 76542-8551
(317) 886-8900
Mailing address
1419 SHOSHONI TRL APT B, HARKER HEIGHTS, TX 76548-7238
(904) 762-5330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1224223
TX
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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