| Magnolia Instructional Center | |
|
2903 Rr 620 N Bldg B Austin TX 78734 | |
| (512) 266-9620 | |
| Not Available |
| Full Name | Magnolia Instructional Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2903 Rr 620 N, Austin, Texas |
| Authorized Official Name and Position | Meghan Houseman (DIRECTOR) |
| Authorized Official Contact | 5122669620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Instructional Center 2903 Rr 620 N Bldg B Austin TX 78734 Ph: (512) 266-9620 | Magnolia Instructional Center 2903 Rr 620 N Bldg B Austin TX 78734 Ph: (512) 266-9620 |
| NPI Number | 1558735050 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558735050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-13259 (* (Not Available)) | Primary |
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