Individual
MISTY TURNER WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
305 N HEATHERWILDE BLVD STE 350, PFLUGERVILLE, TX 78660-4196
(512) 305-3826
Mailing address
2722 SUN MOUNTAIN DR, LEANDER, TX 78641-4050
(512) 350-7361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8301
IN
Other
Enumeration date
05/07/2011
Last updated
12/16/2024
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