MEDICARE: MAJA DRAKE

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	BACB1-26-89516

General Provider Information

NPI Number	:	1760269260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAJA DRAKE

Provider Business Mailing Address
First Line	:	5454 WASHINGTON AVE APT 3312
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-6404
Country	:	US
Telephone Number	:	212-335-0156
Fax Number	:

Provider Business Practice Location Address
First Line	:	5454 WASHINGTON AVE APT 3312
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-6404
Country	:	US
Telephone Number	:	212-335-0156
Fax Number	:

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

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	05/05/2026

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Directions to “ MAJA DRAKE ” Practice Location

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