Provider Demographics
NPI:1225780646
Name:NOVOSAD, TAFFY STONE (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:TAFFY
Middle Name:STONE
Last Name:NOVOSAD
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12327 MEADOW BRIAR DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2206
Mailing Address - Country:US
Mailing Address - Phone:832-455-6380
Mailing Address - Fax:
Practice Address - Street 1:6508 HIGHWAY 90A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-2012
Practice Address - Country:US
Practice Address - Phone:713-388-6446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst