Healthcare Provider Details

I. General information

NPI: 1962217026
Provider Name (Legal Business Name): HEROES MINDS ABA AND SPEECH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26119 INTERSTATE 45 STE 101
SPRING TX
77380-1998
US

IV. Provider business mailing address

26119 INTERSTATE 45 STE 101
SPRING TX
77380-1998
US

V. Phone/Fax

Practice location:
  • Phone: 713-401-9215
  • Fax:
Mailing address:
  • Phone: 610-909-6423
  • 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
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIAN OBASI
Title or Position: CEO
Credential:
Phone: 610-909-6423