| Golden Stars Aba, Inc. | |
|
2111 West Loop South Houston TX 77027 | |
| (713) 408-0672 | |
| Not Available |
| Full Name | Golden Stars Aba, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2111 West Loop South, Houston, Texas |
| Authorized Official Name and Position | Idara Usoro (DIRECTOR) |
| Authorized Official Contact | 7134080672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Stars Aba, Inc. Po Box 2269 Stafford TX 77497-2269 Ph: (713) 408-0672 | Golden Stars Aba, Inc. 2111 West Loop South Houston TX 77027 Ph: (713) 408-0672 |
| NPI Number | 1033855150 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033855150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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