Individual
CAROL ANN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 E CENTRAL TEXAS EXPY STE 300E, KILLEEN, TX 76541-9147
(254) 531-0500
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00004957
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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