Individual
MARIAM IRFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-5240
(949) 401-3931
(888) 403-6922
Mailing address
950 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-5240
(949) 401-3931
(888) 403-6922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69788
TX
Other
Enumeration date
03/15/2019
Last updated
08/21/2024
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