MEDICARE: SMARTIE PANTS BEHAVIORAL AND TRAINING CENTER

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	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number	:	1598000663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMARTIE PANTS BEHAVIORAL AND TRAINING CENTER

Provider Business Mailing Address
First Line	:	4512 HIGHWAY 6 N STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:	281-859-5455
Fax Number	:

Provider Business Practice Location Address
First Line	:	4512 HIGHWAY 6 N STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:	281-859-5455
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	MS. SUMIKO HAMILTON
Credential	:	BS, MPA, MED
Telephone Number	:	832-452-0973

Provider Enumeration Date	:	11/30/2012
Last Update Date	:	08/17/2016

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