Provider Demographics
NPI:1548695927
Name:CURETON, SHAWN (BCBA)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:CURETON
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16507 ORCHID MIST DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2586
Mailing Address - Country:US
Mailing Address - Phone:281-794-2258
Mailing Address - Fax:
Practice Address - Street 1:16507 ORCHID MIST DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2586
Practice Address - Country:US
Practice Address - Phone:281-794-2258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-13-13490103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst