Individual
JILLIAN PREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1101 ARROW POINT DR STE 305, CEDAR PARK, TX 78613-7740
(512) 605-0069
Mailing address
18917 OBED RIVER DR, PFLUGERVILLE, TX 78660-7854
(408) 857-8586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44734
TX
Other
Enumeration date
11/17/2020
Last updated
09/04/2025
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