Provider Demographics
NPI:1497133565
Name:EVANS, VICTORIA R (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:R
Last Name:EVANS
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:TORI
Other - Middle Name:R
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2825 W TOWN CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3734
Mailing Address - Country:US
Mailing Address - Phone:281-570-2420
Mailing Address - Fax:346-229-1693
Practice Address - Street 1:2825 W TOWN CENTER CIR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3734
Practice Address - Country:US
Practice Address - Phone:281-570-2420
Practice Address - Fax:346-229-1693
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst