Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 3980 | TX |
NPI | 1003494832 |
---|---|
Provider Name | Ligia Alvarado |
First Address | Roanoke, TX 76262-6676 |
Second Address | Flower Mound, TX 75028-2282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2021 |
Last Update Date | 01/04/2021 |