| Lone Star Day Program | |
|
14623 Fm 849 Lindale TX 75771-2440 | |
| (903) 520-6243 | |
| (903) 496-0298 |
| Full Name | Lone Star Day Program |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14623 Fm 849, Lindale, Texas |
| Authorized Official Name and Position | Kim Butler (OWNER) |
| Authorized Official Contact | 9035206243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Day Program Po Box 1168 Lindale TX 75771-1168 Ph: (903) 520-6243 | Lone Star Day Program 14623 Fm 849 Lindale TX 75771-2440 Ph: (903) 520-6243 |
| NPI Number | 1801210505 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801210505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
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