Blue Angel
Organization Active NPI Behavior Analyst · Rosharon, TX
NPI 1114897147 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1114897147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- BLUE ANGEL
- Practice address
- 13510 Sorghum Dr
Rosharon, TX 77583-0437 - Phone
- (346) 262-7228
- Fax
- (346) 262-7228
- NPI assigned
- Nov 5, 2025
- Organization subpart
- No
Authorized official
- Name
- Liza Monette Lawrence
- Title
- Owner
- Phone
- (346) 262-7228
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
13510 Sorghum Dr
Rosharon, TX 77583-0437
Mailing address
13510 Sorghum Dr
Rosharon, TX 77583-0437
Phone (346) 262-7228
Other providers in Rosharon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.