Individual
NATASHA KELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
507 AURORA ST, HOUSTON, TX 77008-2329
(832) 769-9086
Mailing address
1525 OXFORD ST, HOUSTON, TX 77008-4547
(832) 769-9086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-40400
BACB
—
01
—
3181
TEXAS LISCENSE BEHAVIOR ANALYST
TX
Enumeration date
01/20/2020
Last updated
11/27/2023
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