Individual
ARIELLE DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 LEANDER RD BLDG E, GEORGETOWN, TX 78628-8801
(864) 504-9994
Mailing address
600 LUTHER DR APT 510, GEORGETOWN, TX 78628-8989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-135420
BACB CERTIFICATION
—
Enumeration date
04/16/2021
Last updated
04/16/2021
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