MEDICARE: AUDREY PINKSTON

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1457286882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY PINKSTON

Provider Business Mailing Address
First Line	:	1215 HCR 1414
Second Line	:
City	:	COVINGTON
State	:	TX
Zip	:	76636-4469
Country	:	US
Telephone Number	:	512-804-8798
Fax Number	:

Provider Business Practice Location Address
First Line	:	13800 LYNDHURST ST UNIT 52
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6063
Country	:	US
Telephone Number	:	512-804-8798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ AUDREY PINKSTON ” Practice Location

Language	Start Address	Practice Location

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