Individual
JOHNNA PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LATITUDE LN, AUSTIN, TX 78717-4958
(512) 994-8550
Mailing address
300 LATITUDE LN, AUSTIN, TX 78717-4958
(512) 994-8550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1490
TX
Other
Enumeration date
01/20/2017
Last updated
03/28/2023
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