Active NPI
Olive Branch ABA
- Behavior Analyst
- Houston, TX
National Provider Identifier
1962394080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.