Healthcare Provider Details

I. General information

NPI: 1487325999
Provider Name (Legal Business Name): BUBBLY ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 LACEY OAK MEADOW DR
KATY TX
77494-0611
US

IV. Provider business mailing address

7619 TIKI DR STE B
FULSHEAR TX
77441-1676
US

V. Phone/Fax

Practice location:
  • Phone: 832-770-4971
  • Fax:
Mailing address:
  • Phone: 346-707-8422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JAYLEEN CHO
Title or Position: CEO
Credential:
Phone: 832-770-4971