Individual
IRENE FAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4491 LONG PRAIRIE RD STE 300, FLOWER MOUND, TX 75028-1795
(469) 687-9184
Mailing address
333 HUFFMAN BLF, KELLER, TX 76248-3698
(919) 780-8719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55601
TX
106S00000X
Behavior Technician
RBT-19-91223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991223
BACB
TX
Enumeration date
07/17/2019
Last updated
12/07/2021
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