Individual
ELSA EGUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8118 FRY RD STE 103, CYPRESS, TX 77433-0022
(832) 653-4314
Mailing address
8118 FRY RD STE 103, CYPRESS, TX 77433-0022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
26-2657184
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043456296
TRICARE
—
Enumeration date
10/19/2020
Last updated
10/19/2020
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