Individual
JEREMIAH ANZUALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
(844) 272-7223
Mailing address
6914 BRISBANE CT STE 200, SUGAR LAND, TX 77479-4924
(844) 272-7223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3071
TX
Other
Enumeration date
10/10/2019
Last updated
02/27/2024
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