| Inspired Child Aba Llc | |
|
509 Oakridge Dr Corsicana TX 75110-1125 | |
| (940) 595-0066 | |
| Not Available |
| Full Name | Inspired Child Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 509 Oakridge Dr, Corsicana, Texas |
| Authorized Official Name and Position | Brandi Fonville (OWNER) |
| Authorized Official Contact | 9405950066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired Child Aba Llc 509 Oakridge Dr Corsicana TX 75110-1125 Ph: (940) 595-0066 | Inspired Child Aba Llc 509 Oakridge Dr Corsicana TX 75110-1125 Ph: (940) 595-0066 |
| NPI Number | 1417687021 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417687021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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