Individual
KASHONNA SURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6516 BROADWAY ST, SUITE 112, PEARLAND, TX 77581-7880
(303) 989-8169
Mailing address
6516 BROADWAY ST, SUITE 112, PEARLAND, TX 77581-7880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
47757735
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/02/2021
Last updated
06/30/2022
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