Healthcare Provider Details
I. General information
NPI: 1922699289
Provider Name (Legal Business Name): VICTORIA ELISABETH FELTHOUSEN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/29/2021
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3760 S MASON RD STE 10
KATY TX
77450-7729
US
IV. Provider business mailing address
PO BOX 33568
SAN DIEGO CA
92163-3568
US
V. Phone/Fax
- Phone: 855-223-7123
- Fax: 619-374-7134
- Phone: 855-223-7123
- Fax: 619-374-7134
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 3806 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: