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McKinley Bostad

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

NPI number1356935530
StatusActive
Last updated in NPPESFeb 27, 2021

Details

NPI
1356935530
Entity type
Individual (NPI-1)
Name
McKinley Bostad
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2021
Certification date
Feb 27, 2021
Last updated
Feb 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–TXYes

Practice location

400 E Royal Ln Ste 290
Irving, TX 75039-3602

Phone 855-832-6727

Mailing address

806 Shady Bend Dr
Kennedale, TX 76060-5478

Phone 817-944-6118

Other practice locations

806 Shady Bend Dr
Kennedale, TX 76060-5478

Phone 817-944-6118

3301 N 3rd St
Abilene, TX 79603-7054

Phone 855-832-6727

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