Provider Demographics
NPI:1629412028
Name:HOUSTON, STEVEN DANIEL (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:DANIEL
Last Name:HOUSTON
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 SPOUT SPRINGS RD SW
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRING
Mailing Address - State:GA
Mailing Address - Zip Code:30124-2313
Mailing Address - Country:US
Mailing Address - Phone:706-506-5777
Mailing Address - Fax:
Practice Address - Street 1:1735 SPOUT SPRINGS RD SW
Practice Address - Street 2:
Practice Address - City:CAVE SPRING
Practice Address - State:GA
Practice Address - Zip Code:30124-2313
Practice Address - Country:US
Practice Address - Phone:706-506-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
GA1-12-11857103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist