Provider Demographics
NPI:1699411744
Name:BURRIS, ARIEL LEI (BA, RBT)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:LEI
Last Name:BURRIS
Suffix:
Gender:F
Credentials:BA, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6455 S SHORE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-5525
Mailing Address - Country:US
Mailing Address - Phone:832-932-9344
Mailing Address - Fax:
Practice Address - Street 1:6455 S SHORE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-5525
Practice Address - Country:US
Practice Address - Phone:832-932-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician