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1410 Daffodil Ln Lewisville TX 75077-2172 | |
| (214) 984-9643 | |
| (866) 468-0353 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1410 Daffodil Ln, Lewisville, Texas |
| Authorized Official Name and Position | Dawn E Chandler (OWNER) |
| Authorized Official Contact | 2149849643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1410 Daffodil Ln Lewisville TX 75077-2172 Ph: (214) 984-9643 | 1410 Daffodil Ln Lewisville TX 75077-2172 Ph: (214) 984-9643 |
| NPI Number | 1679239073 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679239073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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