| Roger Williams Academy | |
|
7447 Cambridge St Apt 47 Houston TX 77054-2027 | |
| (225) 394-5997 | |
| Not Available |
| Full Name | Roger Williams Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7447 Cambridge St Apt 47, Houston, Texas |
| Authorized Official Name and Position | Glenn Harrell (CEO/CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 7138596709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Williams Academy 7447 Cambridge St Apt 47 Houston TX 77054-2027 Ph: (225) 394-5997 | Roger Williams Academy 7447 Cambridge St Apt 47 Houston TX 77054-2027 Ph: (225) 394-5997 |
| NPI Number | 1497400287 |
|---|---|
| Provider Enumeration Date | 02/20/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497400287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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