Individual
JESSIE RABALAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16000 PARK TEN PL STE 601, HOUSTON, TX 77084-7301
(281) 713-0280
Mailing address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429779801
—
TX
Enumeration date
06/28/2017
Last updated
06/12/2023
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