Individual
GEORWANA D TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA LBA
Contact information
Practice address
9026 LAVERNE LAUREL LN, HOUSTON, TX 77080-1143
(832) 956-3434
(346) 826-7990
Mailing address
4 PACIFIC CIR, ORANGE, TX 77630-2451
(832) 956-3434
(346) 826-7990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5304
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/18/2019
Last updated
06/03/2026
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