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1842 W Main St League City TX 77573-3549 | |
(832) 632-2177 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 1842 W Main St, League City, Texas |
Authorized Official Name and Position | Hellen Adedipe (PROVIDER/ OWNER) |
Authorized Official Contact | 8326322177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1842 W Main St League City TX 77573-3549 Ph: (832) 632-2177 | 1842 W Main St League City TX 77573-3549 Ph: (832) 632-2177 |
NPI Number | 1881995058 |
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Provider Enumeration Date | 11/04/2010 |
Last Update Date | 11/04/2010 |
Identifier | Type | State | Issuer |
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1881995058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | 1-08-3988 (Texas) | Primary |
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