Provider Demographics
NPI:1255655197
Name:MOTIEJUNAS, KRISTINA M (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:M
Last Name:MOTIEJUNAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2637 LAZY BEND ST
Mailing Address - Street 2:105
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-1006
Mailing Address - Country:US
Mailing Address - Phone:713-355-0623
Mailing Address - Fax:866-871-7836
Practice Address - Street 1:2637 LAZY BEND
Practice Address - Street 2:SUITE 105
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581
Practice Address - Country:US
Practice Address - Phone:713-355-0623
Practice Address - Fax:866-871-7836
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-01-0649103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst