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Organization
INDIVIDUALIZED INTERVENTION ABA
Active
Organization
INDIVIDUALIZED INTERVENTION ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY SALDIVAR (PARTNER)
(832) 693-2012
Entity
Organization
Contact information
Practice address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
(832) 693-2012
Mailing address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/09/2019
Last updated
08/22/2023
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