| NPI | 1346700275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUELLA G HERRERA Credentialing Specialist 832-905-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| 2084N0600X | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-05-06 |