Healthcare Provider Details

I. General information

NPI: 1316522535
Provider Name (Legal Business Name): CHRISTAL ELSA JOHN MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CLEAR LAKE CITY BLVD STE 400
WEBSTER TX
77598-6604
US

IV. Provider business mailing address

950 FM 1959 RD APT 402
HOUSTON TX
77034-5455
US

V. Phone/Fax

Practice location:
  • Phone: 281-305-0034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number8948
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: