Individual
ARIADNA MALENA HERRERA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 DOMINION DR APT 413, KATY, TX 77450-2048
(832) 202-7569
Mailing address
333 DOMINION DR APT 413, KATY, TX 77450-2048
(832) 202-7569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-351465
TX
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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