Individual
BLAIR ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4491 LONG PRAIRIE RD STE 300, FLOWER MOUND, TX 75028-1795
(469) 687-9184
(469) 998-9397
Mailing address
4491 LONG PRAIRIE RD STE 300, FLOWER MOUND, TX 75028-1795
(469) 687-9184
(469) 998-9397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-102850
TX
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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