Organization · NPI-2

Amazing & Creative Therapy On The Spectrum LLC

Behavior Analyst · Houston, TX

NPI number1770120719
StatusActive
Last updated in NPPESApr 27, 2021

Details

NPI
1770120719
Entity type
Organization (NPI-2)
Legal business name
Amazing & Creative Therapy On The Spectrum LLC
Organization subpart
No
Enumeration date
Dec 10, 2019
Certification date
Jul 27, 2020
Last updated
Apr 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
225A00000X Music Therapist––

Other names

  • Awesome & Creative Therapy On The Spectrum LLC (Former Legal Business Name)

Practice location

14058 Memorial Dr
Houston, TX 77079-6848

Phone 281-752-0403 · Fax 281-752-0502

Mailing address

1307 Sherwood Point Ln
Houston, TX 77043-2857

Phone 832-758-0090

Authorized official

Hyeshin H Bouwhuis
Owner
8327580090

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