MEDICARE: KATIE HOUX

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

General Provider Information

NPI Number	:	1679367064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE HOUX

Provider Business Mailing Address
First Line	:	4060 TELLBROOK RD APT 1
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2561
Country	:	US
Telephone Number	:	915-479-7407
Fax Number	:

Provider Business Practice Location Address
First Line	:	4060 TELLBROOK RD APT 1
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2561
Country	:	US
Telephone Number	:	915-479-7407
Fax Number	:

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

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	04/08/2025

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Directions to “ KATIE HOUX ” Practice Location

Language	Start Address	Practice Location

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