Individual
JAIDE VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 W LEBANON STE 212, FRISCO, TX 75036-3404
(855) 782-7822
Mailing address
255 W LEBANON STE 212, FRISCO, TX 75036-3404
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-85317
TX
Other
Enumeration date
09/03/2024
Last updated
10/28/2025
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