Provider Demographics
NPI:1619302700
Name:PAUL, MICHELLE (MED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:PAUL
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:HANRAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7500 SAN FELIPE ST STE 990
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1708
Mailing Address - Country:US
Mailing Address - Phone:281-826-3382
Mailing Address - Fax:425-491-7683
Practice Address - Street 1:3805 W BUSINESS 83 BLDG D
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-3521
Practice Address - Country:US
Practice Address - Phone:956-230-5135
Practice Address - Fax:361-333-1714
Is Sole Proprietor?:No
Enumeration Date:2013-09-07
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
TX1-15-18796103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst