Provider Demographics
NPI:1083071005
Name:SAVAGE, KYNA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:KYNA
Middle Name:
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 S GESSNER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5185
Mailing Address - Country:US
Mailing Address - Phone:713-782-1330
Mailing Address - Fax:713-782-1045
Practice Address - Street 1:3500 S GESSNER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5185
Practice Address - Country:US
Practice Address - Phone:713-782-1330
Practice Address - Fax:713-782-1045
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-11-9066103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst