Individual
LISSA BONNSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6717 KEMPER DR, PLANO, TX 75023-1013
(972) 207-3734
Mailing address
6717 KEMPER DR, PLANO, TX 75023-1013
(972) 207-3734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35365
TX
Other
Enumeration date
12/07/2017
Last updated
08/12/2022
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