Individual
COLEMIN TY THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, BCABA
Contact information
Practice address
2825 W TOWN CENTER CIR, KINGWOOD, TX 77339-3734
(281) 570-2420
Mailing address
7500 SAN FELIPE ST STE 220, HOUSTON, TX 77063-1724
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
282987
KY
106E00000X
Assistant Behavior Analyst
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912592130
TRICARE
KY
Enumeration date
08/27/2021
Last updated
10/02/2025
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