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1114756475
PHOENIX RISING BEHAVIORAL SERVICES LLC
CEDAR PARK, TX
NPI
1114756475
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Entity Type
Organization
Authorized Contact
STEPHANIE WALDON
Board Certified Behavior Analyst
512-761-6775
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2024-07-26
Last Update Date
2024-08-09
Business Address
PHOENIX RISING BEHAVIORAL SERVICES LLC
12638 RIDGELINE BLVD APT 6304
CEDAR PARK, TX 78613-1212
Phone number: 512-761-6775
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Mailing Address
PHOENIX RISING BEHAVIORAL SERVICES LLC
12638 RIDGELINE BLVD APT 6304
CEDAR PARK, TX 78613-1212
Phone number: 254-677-5011
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