Ckc Holdings Llc | |
1000 W Crosby Rd Ste 136 Carrollton TX 75006-6904 | |
(972) 237-0100 | |
(972) 237-0101 |
Full Name | Ckc Holdings Llc |
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Speciality | Behavior Analyst |
Location | 1000 W Crosby Rd Ste 136, Carrollton, Texas |
Authorized Official Name and Position | Craig Porter (ADMINISTRATOR) |
Authorized Official Contact | 9722370100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ckc Holdings Llc 1000 W Crosby Rd Ste 136 Carrollton TX 75006-6904 Ph: (972) 237-0100 | Ckc Holdings Llc 1000 W Crosby Rd Ste 136 Carrollton TX 75006-6904 Ph: (972) 237-0100 |
NPI Number | 1538815055 |
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Provider Enumeration Date | 02/23/2022 |
Last Update Date | 03/01/2022 |
Certification Date | 03/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538815055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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