Individual
AVERY MADISON OONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7215 BOSQUE BLVD, WACO, TX 76710-4020
(254) 292-2083
Mailing address
7215 BOSQUE BLVD, WACO, TX 76710-4020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193265
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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