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NPI Code Detail

MEDICARE: ARBOR REHAB & ABA TREATMENT CTR

MEDICARE: ARBOR REHAB & ABA TREATMENT CTR
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 Analyst1-01-0388TX

General Provider Information

NPI Number : 1861783037
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARBOR REHAB & ABA TREATMENT CTR
Provider Business Mailing Address
First Line : 1635 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-7320
Country : US
Telephone Number : 713-827-8830
Fax Number : 713-827-0935
Provider Business Practice Location Address
First Line : 1635 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-7320
Country : US
Telephone Number : 713-827-8830
Fax Number : 713-827-0935
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MR. ROBERT WOLFRAM
Credential :
Telephone Number : 713-827-8830
Provider Enumeration Date : 04/22/2011
Last Update Date : 04/22/2011

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