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Organization

OLIVE BRANCH ABA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINDY TOMOR (MEMBER)
(732) 552-8207
Entity
Organization

Contact information

Practice address
10101 FONDREN RD STE 540, HOUSTON, TX 77096-5148
(512) 333-4539
Mailing address
1985 SWARTHMORE AVE STE 4, LAKEWOOD, NJ 08701-4554
(732) 503-2368

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/15/2025
Last updated
07/25/2025
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