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NPI Code Detail

MEDICARE: GIGGLES THERAPY LLC

MEDICARE: GIGGLES THERAPY 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
1103K00000XBehavior Analyst1-14-16405TX
2104100000XSocial Worker52739TX

General Provider Information

NPI Number : 1578969937
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIGGLES THERAPY LLC
Provider Business Mailing Address
First Line : 905 ROBERTS CUT OFF RD
Second Line :
City : RIVER OAKS
State : TX
Zip : 76114-2542
Country : US
Telephone Number : 817-731-2293
Fax Number :
Provider Business Practice Location Address
First Line : 905 ROBERTS CUT OFF RD
Second Line :
City : RIVER OAKS
State : TX
Zip : 76114-2542
Country : US
Telephone Number : 817-731-2293
Fax Number :
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : COURTNEY LEANNE BOGGS-KISSEL
Credential :
Telephone Number : 817-731-2293
Provider Enumeration Date : 11/13/2014
Last Update Date : 11/13/2014

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Directions to “GIGGLES THERAPY LLC ” Practice Location

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