Witarsa, Alex
Witarsa, Alex is an sole proprietor health care provider with primary practice located at 11101 Crazy Well Dr , Austin TX 78717-4679. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Witarsa, Alex can be contacted via phone (617) 462-8178.Contact Information
Primary practice address
11101 Crazy Well Dr
Austin TX 78717-4679
Phone: (617) 462-8178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-09-5006 |
Profile Details
| NPI number | 1225262017 |
|---|---|
| LBN Legal business name | Witarsa, Alex |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2009 |
| Last updated | Sep 1st, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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