Genessa Maines, BCBA

NPI #1003158742 in Tyler, Texas

Provider Information

NPI Number: 1003158742
Entity Type: Individual
Name: Genessa Maines, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Mar 20, 2013
Last Updated: Mar 20, 2013

Practice Location

Address: 2323 W FRONT ST
City: Tyler
State: Texas
ZIP Code: 75702-7704
Phone: (903) 597-1351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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