Provider Demographics
NPI:1043793706
Name:SUGARLAND ABA CENTER LLC
Entity Type:Organization
Organization Name:SUGARLAND ABA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMARACHI
Authorized Official - Middle Name:EMMA
Authorized Official - Last Name:OKOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-760-6239
Mailing Address - Street 1:7219 CRIMSON SKY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6917
Mailing Address - Country:US
Mailing Address - Phone:281-760-6239
Mailing Address - Fax:
Practice Address - Street 1:7219 CRIMSON SKY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6917
Practice Address - Country:US
Practice Address - Phone:281-760-6239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty