Organization
BEHAVIORAL LEARNING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MICHELLE WIGGINS (DIRECTOR)
(832) 978-3474
Entity
Organization
Contact information
Practice address
5739 BELVEDERE ST, HOUSTON, TX 77021-3201
(832) 978-3474
Mailing address
5739 BELVEDERE STREET, HOUSTON, TX 77021
(832) 978-3474
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0-12-5059
TX
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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