Individual
AEISHA MAKEDA HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12023 BISSONNET ST APT 609, HOUSTON, TX 77099-1447
(281) 500-0942
Mailing address
12023 BISSONNET ST APT 609, HOUSTON, TX 77099-1447
(281) 500-0942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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