MEDICARE: HEATHER LYNN HOOTMAN BCBA

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	8070	TX

General Provider Information

NPI Number	:	1467932756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LYNN HOOTMAN BCBA

Provider Business Mailing Address
First Line	:	620 N ROBINSON DR # 620
Second Line	:
City	:	ROBINSON
State	:	TX
Zip	:	76706-5312
Country	:	US
Telephone Number	:	254-732-2262
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 SAULSBURY DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-2273
Country	:	US
Telephone Number	:	254-732-2262
Fax Number	:

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

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	12/10/2025

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Directions to “ HEATHER LYNN HOOTMAN BCBA” Practice Location

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