Individual
ANTHEA JOLIN ROEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E SHADOWBEND AVE, FRIENDSWOOD, TX 77546-3859
(713) 893-3906
Mailing address
206 SILVERBROOK LN, DICKINSON, TX 77539-6177
(832) 319-4864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-104867
TX
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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