Most Relevant Information
Provider Data
| NPI Number: | 1003431909 |
| Provider Name: | RANEISHA EDISON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2020 |
| Last Updated: | 06/16/2020 |
Provider Practice Location
7000 NW 100 DR STE B100
HOUSTON
TX
770922051
Practice Location Phone/Fax
| Phone: | 7134626060 |
| Fax: |
Provider Mailing Location
7000 NW 100 DR STE B100
HOUSTON
TX
770922051
Provider Mailing Phone/Fax
| Phone: | 7134626060 |
| Fax: |