| Radiant Autism Center, Llc | |
|
2831 Eldorado Pkwy Ste 106 Frisco TX 75033-7438 | |
| (214) 778-1153 | |
| Not Available |
| Full Name | Radiant Autism Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2831 Eldorado Pkwy Ste 106, Frisco, Texas |
| Authorized Official Name and Position | Christopher Thomas Carlson (CEO) |
| Authorized Official Contact | 2147781153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Autism Center, Llc 2831 Eldorado Pkwy Ste 106 Frisco TX 75033-7438 Ph: () - | Radiant Autism Center, Llc 2831 Eldorado Pkwy Ste 106 Frisco TX 75033-7438 Ph: (214) 778-1153 |
| NPI Number | 1184223737 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184223737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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