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303 W Nash St Grapevine TX 76051-5512 | |
| (817) 424-9797 | |
| (817) 424-9792 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 303 W Nash St, Grapevine, Texas |
| Authorized Official Name and Position | Donna Dempsey (PRESIDENT/CEO) |
| Authorized Official Contact | 8177597925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1424 Hemphill St Fort Worth TX 76104-4703 Ph: (888) 617-7171 | 303 W Nash St Grapevine TX 76051-5512 Ph: (817) 424-9797 |
| NPI Number | 1689841751 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689841751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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