| Childs Path | |
|
8720 W Main St Frisco TX 75033-3079 | |
| (214) 681-0344 | |
| (214) 291-5692 |
| Full Name | Childs Path |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8720 W Main St, Frisco, Texas |
| Authorized Official Name and Position | Catherine Boatman (DIRECTOR) |
| Authorized Official Contact | 2146810344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childs Path Po Box 864557 Plano TX 75086-4557 Ph: (214) 681-0344 | Childs Path 8720 W Main St Frisco TX 75033-3079 Ph: (214) 681-0344 |
| NPI Number | 1588081731 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588081731 | NPI | - | NPPES |
| 0002BF | Other | TX | BCBS |
| 12347082668 | Other | TX | TRICARE |
| 1316338544 | Other | TX | NPI |
| 1720332117 | Other | TX | INDIVIDUAL NPI |
| 1851718209 | Other | TX | NPI |
| 3639503 | Other | TX | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-12-12040 (Texas) | Primary |
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