Individual
LUISA TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1005 S MAYS ST, ROUND ROCK, TX 78664-6725
(512) 661-4387
Mailing address
1005 S MAYS ST, ROUND ROCK, TX 78664-6725
(512) 661-4387
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3240
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/07/2018
Last updated
05/14/2021
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