Individual
DAKOTA CHEYENNE BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 E PARK ST, CEDAR PARK, TX 78613-4598
(512) 588-1362
Mailing address
2105 E PARK ST, CEDAR PARK, TX 78613-4598
(512) 588-1362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4385
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/23/2017
Last updated
09/28/2021
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