Timothy John Agnello, RBT
Behavior Technician in Stafford, TX. Individual provider (NPI-1).
NPI number1982141701
StatusActive
Last updated in NPPESNov 11, 2018
Details
- NPI
- 1982141701
- Entity type
- Individual (NPI-1)
- Name
- Timothy John Agnello
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2017
- Last updated
- Nov 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT1615237 | TX | Yes |
Practice location
10435 Greenbough Dr # 410Stafford, TX 77477-5000
Phone 832-539-7246
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345 · Fax 281-239-0828
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