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4601 Brighton Dr Mckinney TX 75070-8678 | |
| (214) 679-7001 | |
| (469) 436-3891 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4601 Brighton Dr, Mckinney, Texas |
| Authorized Official Name and Position | Doretha Garman (OWNER) |
| Authorized Official Contact | 2146797001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
450 Century Pkwy Ste 250f Allen TX 75013-8136 Ph: (214) 679-7001 | 4601 Brighton Dr Mckinney TX 75070-8678 Ph: (214) 679-7001 |
| NPI Number | 1679226567 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 03/05/2022 |
| Certification Date | 03/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679226567 | NPI | - | NPPES |
| FD712491-9D06-4DDF-B | Other | TX | EVERNORTH |
| D188A5E1-3E99-4D0C-9 | Other | TX | SCOTT AND WHITE |
| 1245614361 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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