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General NPI Number Information
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NPI Number | 1639745102
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Entity Type | Organization
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Legal Business Name | HOUSTON ABA INCORPORATED
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 1416 CAMPBELL RD STE 101
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City | HOUSTON
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State | TX
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Zip | 77055-4753
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Country | US
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Telephone | 832-445-0544
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Fax |
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Provider Business Mailing Address
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Address Line | 2518 RIVER SLATE CT
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City | KINGWOOD
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State | TX
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Zip | 77345-1512
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Country | US
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Telephone | 832-233-2445
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MINDY VELA
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Credential | BCBA
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Telephone | 832-233-2445
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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 |
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License Number State |
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