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Individual

ALISA NEMBHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
(855) 782-7822
Mailing address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
(855) 782-7822

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4736
TX
106S00000X
Behavior Technician
RBT-17-41025
CT

Other

Enumeration date
09/19/2019
Last updated
01/03/2022
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