Individual
CANDACE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1524 LEANDER RD UNIT E, GEORGETOWN, TX 78628-8801
(512) 887-2126
Mailing address
1202 ASHTREE CT, ROUND ROCK, TX 78665-1243
(254) 214-2718
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17209
TX
Other
Enumeration date
04/11/2017
Last updated
03/17/2018
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