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1932948288
KELLI BOUCK
SOUTHLAKE, TX
NPI
1932948288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
KELLI BOUCK BCBA
230 S NOLEN DR
SOUTHLAKE, TX 76092-8078
Phone number: 817-402-8250
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Mailing Address
KELLI BOUCK BCBA
4044 TWIN CREEKS DR
FORT WORTH, TX 76244-8874
Phone number: 469-323-7295
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