Individual
MISS ANNA PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1001 W SW LOOP 323, TYLER, TX 75701-9416
(430) 205-8710
Mailing address
13320 COUNTRY MEADOW LN, LINDALE, TX 75771-6179
(773) 899-3185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-234071
TX
Other
Enumeration date
08/02/2019
Last updated
09/22/2022
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