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Individual

CALLIE HUCKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1529 E SANDY LAKE RD, COPPELL, TX 75019-3107
(469) 382-2111
Mailing address
604 E BETHEL SCHOOL RD, COPPELL, TX 75019-4131
(469) 382-2111

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TX

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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