Nicholas Jansa
Behavior Technician in Keller, TX. Individual provider (NPI-1).
NPI number1710695978
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1710695978
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Jansa
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1652 Keller PkwyKeller, TX 76248-3875
Phone 682-777-9775
Mailing address
1652 Keller PkwyKeller, TX 76248-3875
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