Shine Behavior Analysis, LLC

NPI #1528444130 in Fort Worth, Texas

Provider Information

NPI Number: 1528444130
Entity Type: Organization
Organization Name: Shine Behavior Analysis, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 5, 2015
Last Updated: Aug 5, 2015

Practice Location

Address: 6916 VISTA RIDGE CT
City: Fort Worth
State: Texas
ZIP Code: 76132-4553
Phone: (817) 291-2322

Authorized Official

Name: LARRY BILL BARKSDALE JR.
Title: MEMBER
Phone: (817) 291-2322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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