Individual
CAMILLE ROSE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9390 RESEARCH BLVD UNIT 1, AUSTIN, TX 78759-6585
(512) 330-9520
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65404
TX
106S00000X
Behavior Technician
129651
TX
106S00000X
Behavior Technician
RBT-20-129651
TX
Other
Enumeration date
09/17/2021
Last updated
05/03/2023
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