Lissette Blanco

NPI #1790522381 in Irving, Texas

Provider Information

NPI Number: 1790522381
Entity Type: Individual
Name: Lissette Blanco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 10, 2024
Last Updated: Jul 10, 2024

Practice Location

Address: 320 DECKER DR
City: Irving
State: Texas
ZIP Code: 75062-3999
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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