MEDICARE: MRS. MICHELLE PAUL M.ED., 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
1	103K00000X	Behavior Analyst
2	103K00000X	Behavior Analyst	1-15-18796	TX

General Provider Information

NPI Number	:	1619302700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE PAUL M.ED., BCBA

Provider Business Mailing Address
First Line	:	7500 SAN FELIPE ST STE 990
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1708
Country	:	US
Telephone Number	:	281-826-3382
Fax Number	:	425-491-7683

Provider Business Practice Location Address
First Line	:	3805 W BUSINESS 83 BLDG D
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-3521
Country	:	US
Telephone Number	:	956-230-5135
Fax Number	:	361-333-1714

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

Provider Enumeration Date	:	09/07/2013
Last Update Date	:	12/03/2024

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