The Shape Of Behavior

NPI 1255537338 - Specialist - 174400000X

NPI Details
NPI 1255537338
Enumeration Date 06/25/2007
Last Updated 08/18/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOMONIQUE Y DOMONIQUE
Position OWNER
Phone (832) 358-2655
Fax (832) 359-3530
Practice Location
12941 NORTH FWY
STE 750
HOUSTON TX, 77060-1240, US
Phone (832) 358-2655
Fax (832) 359-3530
Business Location
12941 NORTH FWY
STE 750
HOUSTON TX, 77060-1240, US
Phone (832) 358-2655
Fax
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number 1-00-0350
Remove 1255537338 NPI Number
 

According to our database, The Shape Of Behavior NPI is 1255537338, taxonomy code is 174400000X and license number is 1-00-0350, license state is located at Texas. The Shape Of Behavior physically located at 12941 North Fwy, Houston TX, 77060-1240. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1255537338 NPI number is provided on an as is basis without warranty of any kind. 1255537338 is maintained by the National Plan & Provider Enumeration System. The contents of The Shape Of Behavior are for informational purposes only.