Individual
LILA SUN NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2100 KRAMER LN STE 150, AUSTIN, TX 78758-4096
(512) 572-0157
Mailing address
1601 S MOPAC EXPY, STE C-300, AUSTIN, TX 78746-7009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46323
TX
2470A2800X
Assistant Health Information Record Technician
—
—
Other
Enumeration date
11/30/2011
Last updated
06/18/2021
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