Individual
VICTORIA LADRONDEGUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9559 HIGHWAY 5 STE 601, DOUGLASVILLE, GA 30135-1572
(470) 632-5276
Mailing address
6140 AVERY DR APT 6302, FORT WORTH, TX 76132-5314
(903) 421-5960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51361
TX
106S00000X
Behavior Technician
RBT-19-87592
—
Other
Enumeration date
09/19/2019
Last updated
10/12/2021
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