Provider Demographics
NPI:1417470790
Name:CHOICE, AUNDRAE LEONARD
Entity Type:Individual
Prefix:
First Name:AUNDRAE
Middle Name:LEONARD
Last Name:CHOICE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:AUNDRAE
Other - Middle Name:LEONARD
Other - Last Name:CHOICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ADMINISTATOR/CEO
Mailing Address - Street 1:4006 RIPPLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-5518
Mailing Address - Country:US
Mailing Address - Phone:832-350-3804
Mailing Address - Fax:188-850-5902
Practice Address - Street 1:4006 RIPPLEBROOK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-5518
Practice Address - Country:US
Practice Address - Phone:832-350-3804
Practice Address - Fax:188-850-5902
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician