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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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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