Individual
MOIRA KATHLEEN DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1210 STONEHOLLOW DR, KINGWOOD, TX 77339-1789
(713) 408-1976
Mailing address
4923 MAPLE BROOK LN, KINGWOOD, TX 77345-1001
(713) 408-1976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84261
TX
Other
Enumeration date
07/25/2023
Last updated
09/18/2025
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