Kitsune Llc | |
508 Pat Booker Rd # 5057 Universal City TX 78148-4434 | |
(210) 887-6735 | |
Not Available |
Full Name | Kitsune Llc |
---|---|
Speciality | Behavior Analyst |
Location | 508 Pat Booker Rd # 5057, Universal City, Texas |
Authorized Official Name and Position | Caroline Berry (OWNER) |
Authorized Official Contact | 2108876735 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kitsune Llc 508 Pat Booker Rd # 5057 Universal City TX 78148-4434 Ph: () - | Kitsune Llc 508 Pat Booker Rd # 5057 Universal City TX 78148-4434 Ph: (210) 887-6735 |
NPI Number | 1407542244 |
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Provider Enumeration Date | 04/14/2023 |
Last Update Date | 04/14/2023 |
Certification Date | 04/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407542244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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