Individual
SHAQUAVIA TYRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 FM 1960 RD W, HOUSTON, TX 77065-3662
(954) 947-3062
Mailing address
11240 FM 1960 RD W STE 209, HOUSTON, TX 77065-3664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-463181
TX
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
01/15/2026
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