Healthcare Provider Details

I. General information

NPI: 1063308443
Provider Name (Legal Business Name): OHUD ZAGZOOG BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21630 MERCHANTS WAY BLDG B
KATY TX
77449-2514
US

IV. Provider business mailing address

18036 PARK ROW APT 3606
HOUSTON TX
77084-8150
US

V. Phone/Fax

Practice location:
  • Phone: 832-230-1939
  • Fax:
Mailing address:
  • Phone: 346-545-9297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-62500
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: