Koral Charles, RBT
Behavior Technician in Round Rock, TX. Individual provider (NPI-1).
NPI number1942829809
StatusActive
Last updated in NPPESApr 29, 2020
Details
- NPI
- 1942829809
- Entity type
- Individual (NPI-1)
- Name
- Koral Charles
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Apr 29, 2020
- Last updated
- Apr 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-17-28400 | TX | Yes |
Practice location
170 Deep Wood Dr Ste 104Round Rock, TX 78681-4949
Phone 512-910-3251
Mailing address
170 Deep Wood Dr Ste 104Round Rock, TX 78681-4949
Phone 512-910-3251
Other practice locations
920 Highway 352 Ste 200
Mesquite, TX 75149-6806
Mesquite, TX 75149-6806
Phone 469-828-8248
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