Healthcare Provider Details

I. General information

NPI: 1912732181
Provider Name (Legal Business Name): RELYON AUTISM THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19307 TREE CANOPY CT
CYPRESS TX
77433-8286
US

IV. Provider business mailing address

19307 TREE CANOPY CT
CYPRESS TX
77433-8286
US

V. Phone/Fax

Practice location:
  • Phone: 713-366-2080
  • Fax:
Mailing address:
  • Phone: 713-366-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. OLENDU EKPE OKORAFOR
Title or Position: PRESIDENT
Credential: OTR
Phone: 713-366-2080