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27855 Serenata Springs Dr Spring TX 77386-4926 | |
| (254) 319-0952 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 27855 Serenata Springs Dr, Spring, Texas |
| Authorized Official Name and Position | Rosalyn Nyquita Holmes (BCBA) |
| Authorized Official Contact | 3464618230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4057 Riley Fuzzel Rd Ste 500-401 Spring TX 77386-4632 Ph: (346) 461-8230 | 27855 Serenata Springs Dr Spring TX 77386-4926 Ph: (254) 319-0952 |
| NPI Number | 1417727702 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 10/13/2024 |
| Certification Date | 10/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417727702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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