PROVIDENCE LIVELY

IRVING, TX
NPI1629726948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies106E00000X Assistant Behavior Analyst
(Licence: TX  1-19-39960)
Enumeration Date2022-03-15
Last Update Date2022-03-15
Business Address
PROVIDENCE LIVELY BCBA, LBA
400 E ROYAL LN STE 290
IRVING, TX 75039-3602
Phone number: 855-832-6727
Mailing Address
PROVIDENCE LIVELY BCBA, LBA
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727