Individual
HAVEN NILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 N I 35 E, DENTON, TX 76205
(940) 369-5373
Mailing address
409 N I 35 E, DENTON, TX 76205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3082
TX
103K00000X
Behavior Analyst
354123
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3082
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
01
—
354123
BEHAVIOR ANALYSIS CERTIFICATION BOARD
TX
Enumeration date
05/01/2020
Last updated
05/01/2020
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