Bright Light Aba Pllc | |
1703 Big Bend Dr Cedar Park TX 78613-7475 | |
(936) 252-2602 | |
Not Available |
Full Name | Bright Light Aba Pllc |
---|---|
Speciality | Behavior Analyst |
Location | 1703 Big Bend Dr, Cedar Park, Texas |
Authorized Official Name and Position | Alyssa Dawn Pagone-wilson (LICENSED BEHAVIOR ANALYST) |
Authorized Official Contact | 9362522602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Light Aba Pllc 1703 Big Bend Dr Cedar Park TX 78613-7475 Ph: (936) 252-2602 | Bright Light Aba Pllc 1703 Big Bend Dr Cedar Park TX 78613-7475 Ph: (936) 252-2602 |
NPI Number | 1215634118 |
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Provider Enumeration Date | 02/10/2023 |
Last Update Date | 02/10/2023 |
Certification Date | 02/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215634118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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