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NPI Code Detail

MEDICARE: MRS. LISETTE DOBRY BCBA

MEDICARE: MRS. LISETTE DOBRY BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-17-25759

General Provider Information

NPI Number : 1578095386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISETTE DOBRY BCBA
Provider Business Mailing Address
First Line : 620 N ROBINSON DR
Second Line :
City : ROBINSON
State : TX
Zip : 76706-5312
Country : US
Telephone Number : 254-732-2262
Fax Number :
Provider Business Practice Location Address
First Line : 620 N ROBINSON DR
Second Line :
City : ROBINSON
State : TX
Zip : 76706-5312
Country : US
Telephone Number : 254-732-2262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2017
Last Update Date : 04/03/2024

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Directions to “ MRS. LISETTE DOBRY BCBA” Practice Location

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