Individual
MANJUSHREE M HEGDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3760 S MASON RD STE 10, KATY, TX 77450-7729
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4202
TX
Other
Enumeration date
08/24/2021
Last updated
09/15/2024
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