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NPI Code Detail

MEDICARE: HEATHER WARD BCBA

MEDICARE: HEATHER WARD 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
1106S00000XBehavior Technician
2171M00000XCase Manager/Care Coordinator
3103K00000XBehavior Analyst5978TX

General Provider Information

NPI Number : 1003392747
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER WARD BCBA
Provider Business Mailing Address
First Line : 2831 ELDORADO PKWY STE 106
Second Line :
City : FRISCO
State : TX
Zip : 75033-7438
Country : US
Telephone Number : 214-778-1153
Fax Number : 214-778-1153
Provider Business Practice Location Address
First Line : 421 N SAM RAYBURN FWY STE 100
Second Line :
City : SHERMAN
State : TX
Zip : 75090-5863
Country : US
Telephone Number : 214-778-1153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2018
Last Update Date : 02/21/2024

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