Positive Enlightenment, Inc | |
19916 San Chisolm Dr Round Rock TX 78664-3965 | |
(512) 377-1118 | |
Not Available |
Full Name | Positive Enlightenment, Inc |
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Speciality | Behavior Analyst |
Location | 19916 San Chisolm Dr, Round Rock, Texas |
Authorized Official Name and Position | Malika Pritchett (CEO) |
Authorized Official Contact | 5123771118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Positive Enlightenment, Inc 19916 San Chisolm Dr Round Rock TX 78664-3965 Ph: (512) 377-1118 | Positive Enlightenment, Inc 19916 San Chisolm Dr Round Rock TX 78664-3965 Ph: (512) 377-1118 |
NPI Number | 1336518927 |
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Provider Enumeration Date | 09/24/2015 |
Last Update Date | 09/24/2015 |
Identifier | Type | State | Issuer |
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1336518927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1107341 (Texas) | Primary |
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