MEDICARE: MS. KARASHA HOUSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1356123061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARASHA HOUSTON

Provider Business Mailing Address
First Line	:	2200 MONTGOMERY PARK BLVD APT 807
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 MONTGOMERY PARK BLVD APT 8072200
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3584
Country	:	US
Telephone Number	:	832-718-2732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2023
Last Update Date	:	10/17/2023

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Directions to “ MS. KARASHA HOUSTON ” Practice Location

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