Individual
MS. KATHY THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
6301 CAMPUS CIRCLE DR E, SUITE 100A, IRVING, TX 75063-2712
(469) 374-0700
Mailing address
6301 CAMPUS CIRCLE DR E, SUITE 100A, IRVING, TX 75063-2712
(469) 374-0700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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