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Organization
SPACE THERAPY GYM LLC
Active
Organization
SPACE THERAPY GYM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LYNN REED MOTR/L (CO-OWNER)
(713) 252-8482
Entity
Organization
Contact information
Practice address
805 RHODE PL STE 350, HOUSTON, TX 77019-2717
(713) 252-8482
(713) 522-8880
Mailing address
805 RHODE PL STE 350, HOUSTON, TX 77019-2717
(713) 252-8482
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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