| Neurodivergent Center Of America Texas, Llc | |
|
9201 N Central Expy Ste 160 Dallas TX 75231-6033 | |
| (214) 852-1031 | |
| Not Available |
| Full Name | Neurodivergent Center Of America Texas, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9201 N Central Expy Ste 160, Dallas, Texas |
| Authorized Official Name and Position | Peter Kurniali (OWNER) |
| Authorized Official Contact | 2148511031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodivergent Center Of America Texas, Llc 9201 N Central Expy Ste 160 Dallas TX 75231-6033 Ph: (214) 851-1031 | Neurodivergent Center Of America Texas, Llc 9201 N Central Expy Ste 160 Dallas TX 75231-6033 Ph: (214) 852-1031 |
| NPI Number | 1124836937 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124836937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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