Pete List

NPI #1114526472 in Prosper, Texas

Provider Information

NPI Number: 1114526472
Entity Type: Individual
Name: Pete List
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 19, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 861 N COLEMAN ST
City: Prosper
State: Texas
ZIP Code: 75078-2340
Phone: (469) 296-8205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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