Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 106S00000X | Behavior Technician |
NPI | 1023408903 |
---|---|
Provider Name | Dr. Evangelina Barnard |
First Address | Round Rock, TX 78665-2071 |
Second Address | Austin, TX 78746-7759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2015 |
Last Update Date | 02/09/2021 |