| Edl Llc | |
|
2105 E Park St Cedar Park TX 78613-4598 | |
| (512) 739-8476 | |
| Not Available |
| Full Name | Edl Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2105 E Park St, Cedar Park, Texas |
| Authorized Official Name and Position | An Pham (MANAGING DIRECTOR) |
| Authorized Official Contact | 5127398476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edl Llc 14516 Olive Hill Dr Austin TX 78717-4589 Ph: (512) 739-8476 | Edl Llc 2105 E Park St Cedar Park TX 78613-4598 Ph: (512) 739-8476 |
| NPI Number | 1184284226 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184284226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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