Individual
KRISTY WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9390 RESEARCH BLVD, BUILDING 1 #100, AUSTIN, TX 78759-6585
(512) 330-9520
(512) 330-9505
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 449-0994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18121
TX
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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