| Easter Seals North Texas | |
|
1900 Elm St # 810 Dallas TX 75201-4527 | |
| (972) 939-3911 | |
| (972) 394-6266 |
| Full Name | Easter Seals North Texas |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1900 Elm St, Dallas, Texas |
| Authorized Official Name and Position | Bonnie Connally (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8177597931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals North Texas 1900 Elm St # 810 Dallas TX 75201-4527 Ph: (972) 939-3911 | Easter Seals North Texas 1900 Elm St # 810 Dallas TX 75201-4527 Ph: (972) 939-3911 |
| NPI Number | 1578807533 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578807533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11212253 (Texas) | Primary |
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