Organization Active NPI

Olive Branch ABA

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1962394080
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OLIVE BRANCH ABA
Practice address
10101 Fondren Rd Ste 540
Houston, TX 77096-5148
Phone
(512) 333-4539
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mindy Tomor
Title
Member
Phone
(732) 552-8207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10101 Fondren Rd Ste 540
Houston, TX 77096-5148

Mailing address

1985 Swarthmore Ave Ste 4
Lakewood, NJ 08701-4554
Phone (732) 503-2368

National Provider Directory

National Provider Directory

Locations

1985 Swarthmore Ave
Ste 4
Lakewood, NJ 08701

5900 Balcones Dr
#26344
Austin, TX 78731

10101 Fondren Rd
Ste 540
Houston, TX 77096
Phone (512) 333-4539

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1962394080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 SWARTHMORE AVE STE 4",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014554",
            "telephone_number": "732-503-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FONDREN RD STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965148",
            "telephone_number": "512-333-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "TOMOR",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-552-8207"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.