| Shape Abilities Llc | |
|
19840 Cypress Church Rd Cypress TX 77433-1478 | |
| (832) 358-2655 | |
| Not Available |
| Full Name | Shape Abilities Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19840 Cypress Church Rd, Cypress, Texas |
| Authorized Official Name and Position | Domonique Randall (MANAGING MEMBER) |
| Authorized Official Contact | 8323582655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shape Abilities Llc 12941 North Fwy Ste 750 Houston TX 77060-1243 Ph: (832) 358-2655 | Shape Abilities Llc 19840 Cypress Church Rd Cypress TX 77433-1478 Ph: (832) 358-2655 |
| NPI Number | 1528518701 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528518701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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