| Hidden Light Aba Tx Llc | |
|
6575 West Loop S Ste 500 Bellaire TX 77401-3509 | |
| (732) 228-3417 | |
| Not Available |
| Full Name | Hidden Light Aba Tx Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6575 West Loop S Ste 500, Bellaire, Texas |
| Authorized Official Name and Position | Boruch Stefansky (OWNER) |
| Authorized Official Contact | 7322283417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Light Aba Tx Llc 77 Aspen Ct Lakewood NJ 08701-4331 Ph: () - | Hidden Light Aba Tx Llc 6575 West Loop S Ste 500 Bellaire TX 77401-3509 Ph: (732) 228-3417 |
| NPI Number | 1659131316 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659131316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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