Organization
BLUEBONNET AUTISM PLLC
Active
Other names
BLUEBONNET AUTISM PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONIA MALHOTRA BCBA, LBA (CLINICAL DIRECTOR)
(832) 273-9481
Entity
Organization
Contact information
Practice address
630 COLONY LAKE ESTATES DR APT 1014, STAFFORD, TX 77477-4675
(832) 273-9481
Mailing address
2121 EL PASEO ST APT 1108, HOUSTON, TX 77054-3223
(832) 273-9481
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
02/09/2020
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