Kevin Ivan Duque

NPI #1134874316 in Temple, Texas

Provider Information

NPI Number: 1134874316
Entity Type: Individual
Name: Kevin Ivan Duque
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 16, 2022
Last Updated: Feb 16, 2022

Practice Location

Address: 3009 SAULSBURY DR
City: Temple
State: Texas
ZIP Code: 76504-2273
Phone: (254) 732-2262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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