| Qualife, Llc | |
|
15225 Sweet Caddies Dr Pflugerville TX 78660-3208 | |
| (716) 982-9096 | |
| Not Available |
| Full Name | Qualife, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15225 Sweet Caddies Dr, Pflugerville, Texas |
| Authorized Official Name and Position | K Sophia Mandilas (OWNER) |
| Authorized Official Contact | 7169829096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qualife, Llc 15225 Sweet Caddies Dr Pflugerville TX 78660-3208 Ph: (716) 982-9096 | Qualife, Llc 15225 Sweet Caddies Dr Pflugerville TX 78660-3208 Ph: (716) 982-9096 |
| NPI Number | 1811496300 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811496300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11622756 (* (Not Available)) | Primary |
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