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NPI Code Detail

MEDICARE: NEXUS PEDIATRIC THERAPY INC

MEDICARE: NEXUS PEDIATRIC THERAPY INC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1407794969
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXUS PEDIATRIC THERAPY INC
Provider Business Mailing Address
First Line : 1250 W SAM HOUSTON PKWY S STE 333
Second Line :
City : HOUSTON
State : TX
Zip : 77042-1941
Country : US
Telephone Number : 1
Fax Number : 678-390-9905
Provider Business Practice Location Address
First Line : 1250 W SAM HOUSTON PKWY S STE 333
Second Line :
City : HOUSTON
State : TX
Zip : 77042-1941
Country : US
Telephone Number : 1
Fax Number : 678-390-9905
Authorized Official
Title or Position : PRESIDENT
Name : KRISTOPHER GUARCH
Credential : M.ED
Telephone Number : 1
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “NEXUS PEDIATRIC THERAPY INC ” Practice Location

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