Most Relevant Information
Provider Data
| NPI Number: | 1003639501 |
| Provider Name: | CRYSTAL BOUDET |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2024 |
| Last Updated: | 11/04/2024 |
Provider Practice Location
1001 PINELOCH DR STE 600
HOUSTON
TX
770622736
Practice Location Phone/Fax
| Phone: | 2814616888 |
| Fax: | 8662375824 |
Provider Mailing Location
1001 PINELOCH DR STE 600
HOUSTON
TX
770622736
Provider Mailing Phone/Fax
| Phone: | 2814616888 |
| Fax: | 8662375824 |