Organization
JDA AUTISM CENTER #1
Active
Other names
Success on the Spectrum Spring
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAEL DWAYNE SIMPSON (OWNER)
(832) 573-6199
Entity
Organization
Contact information
Practice address
23221 ALDINE WESTFIELD RD STE 200, SPRING, TX 77373-7755
(832) 573-6199
Mailing address
12818 WINDING MANOR DR, HOUSTON, TX 77044-6029
(832) 573-6199
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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