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1730612813
INGENIA BEHAVIORAL HEALTH LLC
AUSTIN, TX
NPI
1730612813
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Entity Type
Organization
Authorized Contact
ALEX WITARSA
Owner/ Bcba
617-462-8178
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 1-09-5006)
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
INGENIA BEHAVIORAL HEALTH LLC
11101 CRAZY WELL DR
AUSTIN, TX 78717-4679
Phone number: 617-462-8178
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Mailing Address
INGENIA BEHAVIORAL HEALTH LLC
11101 CRAZY WELL DRIVE
AUSTIN, TX 78717
Phone number: 617-462-8178
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