Individual
IBIINE ANNAH OGBANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
(505) 456-6474
Mailing address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
(505) 456-6474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12260749
TX
Other
Enumeration date
07/20/2023
Last updated
07/21/2023
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