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NPI Code Detail

MEDICARE: LAKEISHA WINSTON MS, BCBA

MEDICARE: LAKEISHA WINSTON MS, 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 Analyst160034MS
2103K00000XBehavior Analyst1-17-25439TX

General Provider Information

NPI Number : 1740776137
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKEISHA WINSTON MS, 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 :
Fax Number :
Provider Business Practice Location Address
First Line : 201 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5638
Country : US
Telephone Number : 682-400-0305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 08/08/2025

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