Healthcare Provider Details

I. General information

NPI: 1598994683
Provider Name (Legal Business Name): AMY E SEXTON M.ED. BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 07/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 SUNFLOWER LN
FLOWER MOUND TX
75028-4589
US

IV. Provider business mailing address

2304 SUNFLOWER LANE
FLOWER MOUND TX
75028
US

V. Phone/Fax

Practice location:
  • Phone: 469-569-9989
  • Fax:
Mailing address:
  • Phone: 469-569-9989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1041900
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: