Provider Demographics
NPI:1265804314
Name:TURNMIRE, PATRICIA ANN (BCBA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:TURNMIRE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:SHOEMAKER
Other - Suffix:
Other - Last Name Type:Former Name
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:512-797-0604
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:512-797-0604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-16-23690103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst