Wellformed AI

NPI 1952168080 · live from the CMS NPI Registry

Aba Footprints

Community/Behavioral Health in Magnolia, TX. National Provider Identifier 1952168080, active.

NPI record

NPI1952168080 Type 2 · organization
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location40352 Blossom Valley Ln, Magnolia, TX 77354
Practice phone832-610-4372
EnumeratedMarch 5, 2024
Last updatedJune 19, 2024
Authorized officialRoxanne Montgomery, Bcba, Lba
Other namesAba Footprints

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Community/Behavioral Health primary251S00000X—
Early Intervention Provider Agency252Y00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.