Emilie Slack, RBT

NPI #1063018612 in Southlake, Texas

Provider Information

NPI Number: 1063018612
Entity Type: Individual
Name: Emilie Slack, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 2425 E SOUTHLAKE BLVD
City: Southlake
State: Texas
ZIP Code: 76092-6674
Phone: (817) 442-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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