Individual
LENZIE MARIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4910 AIRPORT AVE STE F, ROSENBERG, TX 77471-5759
(281) 239-1497
(281) 239-7683
Mailing address
4910 AIRPORT AVE STE D, ROSENBERG, TX 77471-5759
(281) 239-1497
(281) 239-7683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28626
TX
Other
Enumeration date
10/07/2014
Last updated
01/08/2018
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