Individual
AZAYLIA EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
900 WEST HWY 6, WACO, TX 76643
(903) 312-1315
Mailing address
903 PARKVIEW CIR, HEWITT, TX 76643-3265
(903) 312-1315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-224908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-224908
BACB
TX
Enumeration date
08/11/2022
Last updated
08/11/2022
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