| Child Study Center At Cook Children's | |
|
1300 W Lancaster Ave Ste 205 Fort Worth TX 76102-3499 | |
| (817) 390-2904 | |
| (817) 390-2901 |
| Full Name | Child Study Center At Cook Children's |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1300 W Lancaster Ave Ste 205, Fort Worth, Texas |
| Authorized Official Name and Position | Cory R Rhoades (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6828854480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Study Center At Cook Children's 1300 W Lancaster Ave Fort Worth TX 76102-3410 Ph: (817) 390-2904 | Child Study Center At Cook Children's 1300 W Lancaster Ave Ste 205 Fort Worth TX 76102-3499 Ph: (817) 390-2904 |
| NPI Number | 1447437827 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447437827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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