Individual
EDWARD HARGROVES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED, BCBA
Contact information
Practice address
3630 N JOSEY LN, SUITE 100, CARROLLTON, TX 75007-3159
(469) 892-7500
(469) 575-3002
Mailing address
3620 N. JOSEY LANE, SUITE 210, CARROLLTON, TX 75007-3159
(469) 892-7500
(469) 575-3002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-11-8499
BCBA LICENSE NUMBER
TX
Enumeration date
08/09/2012
Last updated
05/06/2015
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