NPI 1003158742

Genessa Maines, BCBA

Practitioner Behavior Analyst Tyler, TX

Practice location

Address: 2323 W Front St, Tyler, TX 75702-7704
Phone: (903) 597-1351
Fax: (903) 535-7386

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 0135277 (TX)

Other Behavior Analyst providers in Texas →

Registry record

NPI: 1003158742
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2013
Record last updated: 20 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.