| Centurion Place | |
|
2500 Wilcrest Dr Ste 300 Houston TX 77042-2754 | |
| (713) 364-2828 | |
| (713) 358-9692 |
| Full Name | Centurion Place |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2500 Wilcrest Dr Ste 300, Houston, Texas |
| Authorized Official Name and Position | Fredric Navarre (OWNER) |
| Authorized Official Contact | 2259391966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centurion Place Po Box 105 Houston TX 77001-0105 Ph: (225) 939-1966 | Centurion Place 2500 Wilcrest Dr Ste 300 Houston TX 77042-2754 Ph: (713) 364-2828 |
| NPI Number | 1831824754 |
|---|---|
| Provider Enumeration Date | 07/24/2022 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831824754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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