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Organization

EXCEL ABA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES WILLIAM PETERSON IV MA, BCBA (OWNER/DIRECTOR)
(713) 515-7196
Entity
Organization

Contact information

Practice address
1618 LEATHERWOOD DR, KATY, TX 77450-5025
(713) 515-7196
Mailing address
1618 LEATHERWOOD DR, KATY, TX 77450-5025
(713) 515-7196

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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