Olive Branch Aba
Behavior Analyst in Houston, TX. Organization (NPI-2).
NPI number1962394080
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1962394080
- Entity type
- Organization (NPI-2)
- Legal business name
- Olive Branch Aba
- Organization subpart
- No
- Enumeration date
- Jul 15, 2025
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
10101 Fondren Rd Ste 540Houston, TX 77096-5148
Phone 512-333-4539
Mailing address
1985 Swarthmore Ave Ste 4Lakewood, NJ 08701-4554
Phone 732-503-2368
Authorized official
Mindy Tomor
Member
7325528207
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