Individual
EVELYN KISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8408 STACY RD, MCKINNEY, TX 75070-2142
(469) 625-2198
(469) 998-9143
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(281) 826-3382
(832) 653-2491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3634
TX
106S00000X
Behavior Technician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3634
BCBA
TX
Enumeration date
01/23/2019
Last updated
09/23/2020
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