BOUAGNAN JOHANN PITAH

SOUTHLAKE, TX
NPI1043838931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: TX  RBT20121430)
Enumeration Date2020-07-08
Last Update Date2020-07-08
Business Address
BOUAGNAN JOHANN PITAH
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222
Mailing Address
BOUAGNAN JOHANN PITAH
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6674
Phone number: 817-442-0222