Dezirae Nichole Vidal, RBT

NPI #1437978749 in Mesquite, Texas

Provider Information

NPI Number: 1437978749
Entity Type: Individual
Name: Dezirae Nichole Vidal, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Oct 4, 2024
Last Updated: Oct 4, 2024

Practice Location

Address: 920 HIGHWAY 352 STE 200
City: Mesquite
State: Texas
ZIP Code: 75149-6806
Phone: (972) 505-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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