Individual
ALYSON CAROLINE MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1332 BROADWAY ST, PEARLAND, TX 77581-6306
(713) 355-0623
Mailing address
115 EASTON GLEN LN, DICKINSON, TX 77539-5395
(832) 995-7478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29420
TX
Other
Enumeration date
10/10/2017
Last updated
05/06/2020
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