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214 N Terry St Ste C Malakoff TX 75148-9662 | |
(903) 386-3373 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 214 N Terry St Ste C, Malakoff, Texas |
Authorized Official Name and Position | Erin L Loper (MANAGING MEMBER) |
Authorized Official Contact | 9033863373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 829 Malakoff TX 75148-0829 Ph: (903) 386-3373 | 214 N Terry St Ste C Malakoff TX 75148-9662 Ph: (903) 386-3373 |
NPI Number | 1326661638 |
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Provider Enumeration Date | 05/20/2020 |
Last Update Date | 10/31/2022 |
Certification Date | 10/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326661638 | NPI | - | NPPES |
1467855288 | Other | NPI | |
1-14-10432 | Other | BCBA | |
1766 | Other | TX | LBA |