Individual
CHARNELLE LATIA HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16441 SPACE CENTER BLVD STE 200, HOUSTON, TX 77058-2015
(713) 682-9660
Mailing address
16441 SPACE CENTER BLVD STE 200, HOUSTON, TX 77058-2015
(713) 682-9660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5016
TX
106S00000X
Behavior Technician
16-20782
TX
Other
Enumeration date
09/12/2019
Last updated
05/27/2022
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