Organization
ABA FOOTPRINTS
Active
Other names
ABA Footprints
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROXANNE ELIZABETH MONTGOMERY M.A. (BCBA, LBA)
(832) 610-4372
Entity
Organization
Contact information
Practice address
40352 BLOSSOM VALLEY LN, MAGNOLIA, TX 77354-4563
(832) 610-4372
Mailing address
40352 BLOSSOM VALLEY LN, MAGNOLIA, TX 77354-4563
(832) 610-4372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/05/2024
Last updated
06/19/2024
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