MEDICARE: A BIG ACT ABA THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1609625417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BIG ACT ABA THERAPY

Provider Business Mailing Address
First Line	:	11739 BERKWAY TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-5265
Country	:	US
Telephone Number	:	832-960-8805
Fax Number	:

Provider Business Practice Location Address
First Line	:	11739 BERKWAY TRL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-5265
Country	:	US
Telephone Number	:	832-960-8805
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. EILIZ PEREZ DIEPA
Credential	:
Telephone Number	:	832-960-8805

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/14/2024

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Directions to “A BIG ACT ABA THERAPY ” Practice Location

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