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Organization
BACKHAM LLC
Active
Organization
BACKHAM LLC
Active
Other names
Success On The Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
LY BACKHAM (OWNER)
(832) 452-7542
Entity
Organization
Contact information
Practice address
6515 HARCOURT BRIDGE DR, HOUSTON, TX 77084-2248
(832) 452-7542
Mailing address
6515 HARCOURT BRIDGE DR, HOUSTON, TX 77084-2248
(832) 452-7542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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