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Organization
OLIVE BRANCH ABA
Active
Organization
OLIVE BRANCH ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY TOMOR (MEMBER)
(732) 552-8207
Entity
Organization
Contact information
Practice address
10101 FONDREN RD STE 540, HOUSTON, TX 77096-5148
(512) 333-4539
Mailing address
1985 SWARTHMORE AVE STE 4, LAKEWOOD, NJ 08701-4554
(732) 503-2368
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/25/2025
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