Genessa Maines
Behavior Analyst
2323 W Front St
Tyler
, Texas 75702-7704
Genessa Maines
Behavior Analyst
2323 W Front St
Tyler
, Texas 75702-7704
(903) 535-7386
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Genessa Maines
- 2323 W Front St
- Tyler, TX
- Zip : 75702-7704
- Fax : (903) 535-7386
- Phone : (903) 597-1351
Second Address
- Genessa Maines
- 2323 W Front St
- Tyler, TX
- Zip : 75702-7704
- Fax : (903) 535-7386
- Phone : (903) 597-1351
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 0135277 | TX |
National Provider Identifier
| NPI | 1003158742 |
|---|---|
| Provider Name | Genessa Maines |
| First Address | Tyler, TX 75702-7704 |
| Second Address | Tyler, TX 75702-7704 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2013 |
| Last Update Date | 20/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.