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NPI Code Detail

MEDICARE: BEHAVIOR ANALYTIC SOLUTIONS, LLC

MEDICARE: BEHAVIOR ANALYTIC 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
1251C00000XDevelopmentally Disabled Services Day Training Agency1020994TX
2225X00000XOccupational TherapistTX
3225XF0002XFeeding, Eating & Swallowing Occupational TherapistTX
4225XP0200XPediatric Occupational TherapistTX
5103K00000XBehavior Analyst1-02-0994TX
6235Z00000XSpeech-Language PathologistTX

General Provider Information

NPI Number : 1356588446
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR ANALYTIC SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 4502 CENTERVIEW
Second Line : SUITE 215
City : SAN ANTONIO
State : TX
Zip : 78228-1318
Country : US
Telephone Number : 210-733-7440
Fax Number : 210-733-7570
Provider Business Practice Location Address
First Line : 4502 CENTERVIEW
Second Line : SUITE 215
City : SAN ANTONIO
State : TX
Zip : 78228-1318
Country : US
Telephone Number : 210-733-7440
Fax Number : 210-733-7570
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. LUPE CASTANEDA JR.
Credential : BCBA
Telephone Number : 210-316-6410
Provider Enumeration Date : 01/12/2009
Last Update Date : 03/23/2011

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Directions to “BEHAVIOR ANALYTIC SOLUTIONS, LLC ” Practice Location

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