North Texas Diagnostic Intervention Behavioral Clinic

NPI #1902463276 in Wichita Falls, Texas

Provider Information

NPI Number
1902463276
Entity Type
Organization
Organization Name
North Texas Diagnostic Intervention Behavioral Clinic
Primary Specialty
Behavior Analyst
Enumeration Date
May 22, 2019
Last Updated
Apr 26, 2021

Practice Location

Address
3501 SHEPPARD ACCESS RD
State
Texas
ZIP Code
76306-4235
Phone
(940) 447-7115

Authorized Official

Name
RACHEL SAMANTHA BERTELSON, BCBA, LBA, LPA-I PHD
Title
SUPERVISING BCBA, LPA-I
Phone
(940) 386-2100

Specialties & Taxonomy Codes

Specialty
Behavior Technician
Behavior Analyst

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