Individual
AMALEE DENISE PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1510 GREENLAWN BLVD, ROUND ROCK, TX 78664-7072
(512) 344-9216
Mailing address
1510 GREENLAWN BLVD, ROUND ROCK, TX 78664-7072
(512) 344-9216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-56043
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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