Most Relevant Information
Provider Data
| NPI Number: | 1003435710 |
| Provider Name: | MARIEL MIRELES CONTRERAS BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 2955 |
Most Important Dates
| Enumeration Date: | 04/13/2020 |
| Last Updated: | 04/13/2020 |
Provider Practice Location
3006 BEE CAVES RD STE B200
AUSTIN
TX
787466751
Practice Location Phone/Fax
| Phone: | 5123285599 |
| Fax: | 5123285585 |
Provider Mailing Location
3006 BEE CAVES RD STE B200
AUSTIN
TX
787466751
Provider Mailing Phone/Fax
| Phone: | 5123285599 |
| Fax: |