Organization
LILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYRRELL A VENDITTI BCBA (OWNER)
(832) 769-9086
Entity
Organization
Contact information
Practice address
507A AURORA ST, HOUSTON, TX 77008-2329
(832) 769-9086
Mailing address
448 W 19TH ST, MAILBOX #136, HOUSTON, TX 77008
(832) 769-9086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6469
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1783
LBA STATE OF TEXAS
TX
01
—
BACB
1-24-71467
—
Enumeration date
09/05/2014
Last updated
11/12/2024
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