Organization
FULL POTENTIAL: BEHAVIOR INTERVENTION AND SKILLS DEVELOPMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKADIBIE AMAGWULA (ADIMINISTRATOR)
(713) 900-7537
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST, SUITE NUMBER 335, HOUSTON, TX 77036-8104
(713) 900-7537
Mailing address
9896 BISSONNET ST, SUITE NUMBER 335, HOUSTON, TX 77036-8104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
23342
TX
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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