| Belay On Autism Services | |
|
1512 Grapevine Rdg Prosper TX 75078-1694 | |
| (210) 831-2082 | |
| Not Available |
| Full Name | Belay On Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1512 Grapevine Rdg, Prosper, Texas |
| Authorized Official Name and Position | Carla Bogran (BCBA) |
| Authorized Official Contact | 5044601841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belay On Autism Services 1512 Grapevine Rdg Prosper TX 75078-1694 Ph: () - | Belay On Autism Services 1512 Grapevine Rdg Prosper TX 75078-1694 Ph: (210) 831-2082 |
| NPI Number | 1326779448 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326779448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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