Most Relevant Information
Provider Data
NPI Number: | 1003558883 |
Provider Name: | MAKAYLA EARLEY |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-22-209681 |
Most Important Dates
Enumeration Date: | 04/11/2022 |
Last Updated: | 04/12/2022 |
Provider Practice Location
709 W BROAD ST
FORNEY
TX
751269148
Practice Location Phone/Fax
Phone: | 4694589021 |
Fax: |
Provider Mailing Location
911 N GOLIAD ST
ROCKWALL
TX
750872230
Provider Mailing Phone/Fax
Phone: | |
Fax: |