Individual
MILENA NEGUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4821 MERLOT AVE UNIT 210, GRAPEVINE, TX 76051-7386
(877) 264-6747
Mailing address
7522 OVERDALE DR, DALLAS, TX 75254-2832
(214) 415-3007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51900
TX
Other
Enumeration date
06/27/2019
Last updated
10/28/2023
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