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5301 N G St Ste 120 Mcallen TX 78504-6926 | |
| (956) 322-8845 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5301 N G St Ste 120, Mcallen, Texas |
| Authorized Official Name and Position | Tatiana Mireles (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 9566273660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
110 E Savannah Ave Bldg B201 Mcallen TX 78503-1291 Ph: (956) 627-3660 | 5301 N G St Ste 120 Mcallen TX 78504-6926 Ph: (956) 322-8845 |
| NPI Number | 1427429711 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427429711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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