| Olive Branch Aba | |
|
10101 Fondren Rd Ste 540 Houston TX 77096-5148 | |
| (512) 333-4539 | |
| Not Available |
| Full Name | Olive Branch Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10101 Fondren Rd Ste 540, Houston, Texas |
| Authorized Official Name and Position | Mindy Tomor (MEMBER) |
| Authorized Official Contact | 7325528207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Aba 1985 Swarthmore Ave Ste 4 Lakewood NJ 08701-4554 Ph: (732) 503-2368 | Olive Branch Aba 10101 Fondren Rd Ste 540 Houston TX 77096-5148 Ph: (512) 333-4539 |
| NPI Number | 1962394080 |
|---|---|
| Provider Enumeration Date | 07/15/2025 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962394080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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