| Carnelian Learning Place, Llc | |
|
17505 Telge Rd Ste 102-242 Cypress TX 77429-6977 | |
| (818) 666-9434 | |
| Not Available |
| Full Name | Carnelian Learning Place, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17505 Telge Rd Ste 102-242, Cypress, Texas |
| Authorized Official Name and Position | Lyre Fribourg (OWNER) |
| Authorized Official Contact | 3236057947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carnelian Learning Place, Llc 17505 Telge Rd Ste 102-242 Cypress TX 77429-6977 Ph: () - | Carnelian Learning Place, Llc 17505 Telge Rd Ste 102-242 Cypress TX 77429-6977 Ph: (818) 666-9434 |
| NPI Number | 1124860051 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124860051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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