Individual
ANESHA LARIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
(817) 952-8917
Mailing address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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