Individual
MAKAYLA DOROTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4084 REGENT DR, WICHITA FALLS, TX 76308-1508
(940) 704-8778
Mailing address
4084 REGENT DR, WICHITA FALLS, TX 76308-1508
(940) 704-8778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-118486
TX
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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