Individual
ELIZABETH MUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5801 VIRGINIA PKWY STE 105, MCKINNEY, TX 75071-5411
(469) 284-0801
(903) 630-6172
Mailing address
5801 VIRGINIA PKWY STE 105, MCKINNEY, TX 75071-5411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49740
TX
106S00000X
Behavior Technician
RBT-18-53999
TX
Other
Enumeration date
05/07/2018
Last updated
10/06/2021
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