Gurleen Kaur Boparai

Individual provider Active NPI Behavior Technician · Lavon, TX

NPI 1386429520 · NPPES record last updated Aug 28, 2023

Key facts

NPI
1386429520
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-23-269694 (TX)
Practice address
235 Cyprus Grove Dr
Lavon, TX 75166-4713
Phone
(929) 499-4858
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-23-269694TXMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-269694 TX Yes

Addresses

Primary practice location

235 Cyprus Grove Dr
Lavon, TX 75166-4713

Mailing address

235 Cyprus Grove Dr
Lavon, TX 75166-4713
Phone (929) 499-4858

Other providers in Lavon, TX

All providers in Lavon, TX · Behavior Technician in Texas

Sources for this page

Verify at the official NPI Registry.