Lily Center | |
1525 Oxford St Houston TX 77008-4547 | |
(832) 769-9086 | |
Not Available |
Full Name | Lily Center |
---|---|
Speciality | Behavior Analyst |
Location | 1525 Oxford St, Houston, Texas |
Authorized Official Name and Position | Tyrrell A Venditti (EXECUTIVE DIRECTOR & FOUNDER) |
Authorized Official Contact | 8327699086 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lily Center 1525 Oxford St Houston TX 77008-4547 Ph: (832) 769-9086 | Lily Center 1525 Oxford St Houston TX 77008-4547 Ph: (832) 769-9086 |
NPI Number | 1447651724 |
---|---|
Provider Enumeration Date | 09/05/2014 |
Last Update Date | 01/20/2020 |
Certification Date | 01/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447651724 | NPI | - | NPPES |
1783 | Other | TX | LBA STATE OF TEXAS |
1-09-6469 | Other | BACB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-09-6469 (* (Not Available)) | Primary |
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