Ellen Elizabeth Lagrange

NPI #1821797887 in Southlake, Texas

Provider Information

NPI Number: 1821797887
Entity Type: Individual
Name: Ellen Elizabeth Lagrange
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2023
Last Updated: Feb 28, 2023

Practice Location

Address: 2104 GREENBRIAR DR
City: Southlake
State: Texas
ZIP Code: 76092-8355
Phone: (817) 442-6808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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