=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316733629
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AR'ZAVIER DEMAR HOUSTON-CRINER
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2025
-----------------------------------------------------
Last Update Date | 04/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4491 LONG PRAIRIE RD STE 300
-----------------------------------------------------
City | FLOWER MOUND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75028-2012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-687-9184
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4025 HUFFINES BLVD APT 1205
-----------------------------------------------------
City | CARROLLTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75010-6545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-849-9389
-----------------------------------------------------
Fax | 972-849-9389
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------