Individual
KO-NISHA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 W OREM DR STE 500, HOUSTON, TX 77085-1278
(832) 561-8006
(832) 747-4583
Mailing address
5505 W OREM DR STE 500, HOUSTON, TX 77085-1278
(832) 561-8006
(832) 218-0801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB351110
TX
Other
Enumeration date
11/14/2018
Last updated
04/23/2024
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