Bahati Kimondo

NPI #1003541152 in Southlake, Texas

Provider Information

NPI Number: 1003541152
Entity Type: Individual
Name: Bahati Kimondo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 22, 2022
Last Updated: Jul 22, 2022

Practice Location

Address: 2104 GREENBRIAR DR
City: Southlake
State: Texas
ZIP Code: 76092-8355
Phone: (817) 442-9022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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