| The Behavioral Wellness Academy, Pllc | |
|
9423 Grand Spark Dr Rosharon TX 77583-3375 | |
| (979) 574-1984 | |
| (281) 754-4320 |
| Full Name | The Behavioral Wellness Academy, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9423 Grand Spark Dr, Rosharon, Texas |
| Authorized Official Name and Position | Tranika Lashann Jefferson (OWNER) |
| Authorized Official Contact | 9795741984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavioral Wellness Academy, Pllc 9423 Grand Spark Dr Rosharon TX 77583-3375 Ph: (979) 574-1984 | The Behavioral Wellness Academy, Pllc 9423 Grand Spark Dr Rosharon TX 77583-3375 Ph: (979) 574-1984 |
| NPI Number | 1932805421 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932805421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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