Individual
MS. KRISTEN SOPHIA MANDILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
15225 SWEET CADDIES DR, PFLUGERVILLE, TX 78660-3208
(716) 982-9096
Mailing address
15225 SWEET CADDIES DR, PFLUGERVILLE, TX 78660-3208
(716) 982-9096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11622756
CA
Other
Enumeration date
09/16/2016
Last updated
02/11/2018
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