Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-06-2779 |
NPI | 1003197351 |
---|---|
Provider Name | Jole Lehr-Fizer |
First Address | Austin, TX 78756-2004 |
Second Address | Austin, TX 78756-2004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2011 |
Last Update Date | 31/08/2011 |