MEDICARE: ASD THERAPY SOLUTIONS, 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	:	1215492970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASD THERAPY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	6914 BRISBANE CT STE 200
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4924
Country	:	US
Telephone Number	:	844-272-7223
Fax Number	:	281-946-5565

Provider Business Practice Location Address
First Line	:	6914 BRISBANE CT STE 200
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4924
Country	:	US
Telephone Number	:	844-272-7223
Fax Number	:	281-946-5565

Authorized Official
Title or Position	:	CEO
Name	:	KYLE SECO
Credential	:
Telephone Number	:	844-272-7223

Provider Enumeration Date	:	02/07/2019
Last Update Date	:	06/06/2026

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