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NPI Code Detail

MEDICARE: PRASANTHI PATHIYIL BCBA

MEDICARE:   PRASANTHI  PATHIYIL  BCBA
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 Analyst9371TX

General Provider Information

NPI Number : 1528831203
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRASANTHI PATHIYIL BCBA
Provider Business Mailing Address
First Line : 920 CLEAR LAKE CITY BLVD
Second Line :
City : WEBSTER
State : TX
Zip : 77598-6604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 CLEAR LAKE CITY BLVD
Second Line :
City : WEBSTER
State : TX
Zip : 77598-6604
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2023
Last Update Date : 11/14/2025

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Directions to “ PRASANTHI PATHIYIL BCBA” Practice Location

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