Annetta Lucille Warren

NPI #1194231506 in Killeen, Texas

Provider Information

NPI Number: 1194231506
Entity Type: Individual
Name: Annetta Lucille Warren
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 20, 2017
Last Updated: Dec 20, 2017

Practice Location

Address: 5508 LUXOR DR APT B
City: Killeen
State: Texas
ZIP Code: 76549-2834
Phone: (254) 291-5058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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