Individual
ANDREA SOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14815 AVERY RANCH BLVD, #2201, AUSTIN, TX 78717-4018
(512) 918-9050
Mailing address
14815 AVERY RANCH BLVD, #2201, AUSTIN, TX 78717-4018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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