Tlc Enterprise

NPI #1629523311 in Frisco, Texas

Provider Information

NPI Number: 1629523311
Entity Type: Organization
Organization Name: Tlc Enterprise
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 23, 2016
Last Updated: Aug 23, 2016

Practice Location

Address: 8811 TEEL PKWY
Address 2: SUITE 100-5222
City: Frisco
State: Texas
ZIP Code: 75035-4201
Phone: (214) 305-6910

Authorized Official

Name: TONDALA LATECE FOWLER, B.S., C.A.M.S.
Title: CERTIFIEDANGER MANGEMENT SPECIALIST
Phone: (214) 305-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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