Basic Information
| Provider Information | |||||||||
| NPI: | 1235616434 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANUGO | ||||||||
| FirstName: | PAULA | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | BCBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23410 BAKER HILL DR | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774692567 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163127627 | ||||||||
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| Practice Location | |||||||||
| Address1: | 202 INDUSTRIAL BLVD | ||||||||
| Address2: | |||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774782700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812584447 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2018 | ||||||||
| LastUpdateDate: | 05/26/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 5067 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.