| Bluebonnet Behavior Academy | |
|
2514 Old Soul Way Wylie TX 75098-1529 | |
| (214) 534-8694 | |
| Not Available |
| Full Name | Bluebonnet Behavior Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2514 Old Soul Way, Wylie, Texas |
| Authorized Official Name and Position | Melissa Carlin (OWNER) |
| Authorized Official Contact | 2145348694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Behavior Academy 2514 Old Soul Way Wylie TX 75098-1529 Ph: () - | Bluebonnet Behavior Academy 2514 Old Soul Way Wylie TX 75098-1529 Ph: (214) 534-8694 |
| NPI Number | 1427774033 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427774033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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