Provider Demographics
NPI:1255015848
Name:ANTHONY, HALEE MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:HALEE
Middle Name:MARIE
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 W SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-3211
Mailing Address - Country:US
Mailing Address - Phone:903-824-6645
Mailing Address - Fax:
Practice Address - Street 1:2411 W SUNSET DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-3211
Practice Address - Country:US
Practice Address - Phone:903-824-6645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5861103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst