Individual
ERIN THERESE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2801 OAKMONT DR STE 100, ROUND ROCK, TX 78665-1021
(512) 354-1820
Mailing address
2601 LA FRONTERA BLVD APT 2127, ROUND ROCK, TX 78681-8047
(517) 927-1713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2886
TX
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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