MEDICARE: ZEN ABA THERAPY CA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1164374484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEN ABA THERAPY CA LLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 28291
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	214-838-7938
Fax Number	:	945-523-0453

Provider Business Practice Location Address
First Line	:	39899 BALENTINE DR STE 200
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-5361
Country	:	US
Telephone Number	:	214-838-7938
Fax Number	:	945-523-0453

Authorized Official
Title or Position	:	CEO
Name	:	DAVID COHEN
Credential	:
Telephone Number	:	214-838-7938

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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