Individual
DEJA LATRICE GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12101 GRANT RD, CYPRESS, TX 77429-2761
(281) 223-5200
(281) 783-2839
Mailing address
8330 WILLOW PLACE DR S APT 803, HOUSTON, TX 77070-4684
(281) 615-1269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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