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Organization

JDA AUTISM CENTER #2, LLC

Active
Other names
Success on the Spectrum (SOS) Humble
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKAEL DWAYNE SIMPSON (OWNER)
(832) 573-6199
Entity
Organization

Contact information

Practice address
9648 FM 1960 BYPASS ROAD WEST, HUMBLE, TX 77338
(832) 573-6199
Mailing address
12818 WINDING MANOR DRIVE, HOUSTON, TX 77044
(832) 573-6199

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
261QH0700X
Hearing and Speech Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
261QX0100X
Occupational Medicine Clinic/Center

Other

Enumeration date
05/23/2024
Last updated
05/23/2024
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