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Individual

ALICIA RENEE MILLER JOLIVETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
(954) 603-7885
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(954) 603-7885

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35986
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-19-35986
BEHAVIOR ANALYST CERTIFICATION BOARD
01
2873
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
04/27/2015
Last updated
09/09/2021
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