Individual
MRS. ELENA JOSE NEMAZANNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
4600 FAIRMONT PKWY, PASADENA, TX 77504-3335
(281) 310-8550
Mailing address
2287 AZAHAR CT, LEAGUE CITY, TX 77573-3299
(347) 733-2596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-34414
TX
103K00000X
Behavior Analyst
Primary
2837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-2127689
ABA THERAPY
TX
Enumeration date
02/17/2011
Last updated
06/13/2022
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