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505 Lexington Ln Richardson TX 75080-3350 | |
| (972) 742-0807 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 505 Lexington Ln, Richardson, Texas |
| Authorized Official Name and Position | Regan Roth Fitzgerald (BEHAVIOR ANALYST, PRESIDENT) |
| Authorized Official Contact | 9727420807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
505 Lexington Ln Richardson TX 75080-3350 Ph: (972) 742-0807 | 505 Lexington Ln Richardson TX 75080-3350 Ph: (972) 742-0807 |
| NPI Number | 1730332537 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730332537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1041835 (Texas) | Primary |
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