Organization
KIDD'S KIDS ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERA KIDD BCBA (BCBA/CEO)
(210) 326-9290
Entity
Organization
Contact information
Practice address
20502 PROVIDENCE POINT DR, KATY, TX 77449-2054
(210) 326-9290
(832) 301-4998
Mailing address
20502 PROVIDENCE POINT DR, KATY, TX 77449-2054
(210) 326-9290
(832) 301-4998
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28930
BCBA
—
01
—
2006
LBA
TX
Enumeration date
06/26/2019
Last updated
06/26/2019
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