| Clear Lake Behavioral Health Llc | |
|
3817 Ledgestone Ct Richardson TX 75082-2775 | |
| (630) 405-8975 | |
| Not Available |
| Full Name | Clear Lake Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3817 Ledgestone Ct, Richardson, Texas |
| Authorized Official Name and Position | Aya Kassar (MANAGER) |
| Authorized Official Contact | 6304058975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Behavioral Health Llc 3817 Ledgestone Ct Richardson TX 75082-2775 Ph: (630) 405-8975 | Clear Lake Behavioral Health Llc 3817 Ledgestone Ct Richardson TX 75082-2775 Ph: (630) 405-8975 |
| NPI Number | 1457103418 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457103418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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