Individual
BLESSING GOREDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
456 PARK GROVE DR, KATY, TX 77450-1571
(605) 271-2690
(605) 271-3956
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
(605) 271-2690
(605) 271-3956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-511304
TX
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
06/08/2026
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