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Carmen Maxon

Behavior Technician in Waco, TX. Individual provider (NPI-1).

NPI number1316632128
StatusActive
Last updated in NPPESApr 7, 2023

Details

NPI
1316632128
Entity type
Individual (NPI-1)
Name
Carmen Maxon
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 7, 2023
Certification date
Apr 2, 2023
Last updated
Apr 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician22-237023–Yes

Practice location

15140 Badger Ranch Blvd
Waco, TX 76712-7671

Phone 254-545-2864

Mailing address

449 Catalina Dr
Waco, TX 76712-3915

Phone 254-339-4336

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