Provider Demographics
NPI:1174109250
Name:CHILDS, MAUREEN BRIDGET (SLP-CCC, BCBA-LBA TX)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:BRIDGET
Last Name:CHILDS
Suffix:
Gender:F
Credentials:SLP-CCC, BCBA-LBA TX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 KIRBY DR STE 540
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3930
Mailing Address - Country:US
Mailing Address - Phone:832-867-8927
Mailing Address - Fax:
Practice Address - Street 1:3730 KIRBY DR STE 540
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3930
Practice Address - Country:US
Practice Address - Phone:832-867-8927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113981235Z00000X
TX3061103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist