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General NPI Number Information
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NPI Number | 1306718028
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Entity Type | Individual
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Provider Name | JESICA SELENA FRIAS RBT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2100 WEST LOOP S
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City | HOUSTON
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State | TX
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Zip | 77027-3515
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Country | US
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Telephone | 832-356-0695
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 ELDRIDGE PKWY APT 315
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City | HOUSTON
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State | TX
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Zip | 77077-2164
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Country | US
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Telephone | 713-927-0441
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | RBT-22-212004
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License Number State | TX
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