Individual
MRS. CANDACE CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA IN FAMILY STUDIES
Contact information
Practice address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
(432) 553-1085
Mailing address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-110358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-110358
NA
TX
Enumeration date
01/27/2020
Last updated
01/27/2020
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