MEDICARE: APEX PEDIATRIC HEALTH TX, 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1619811502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX PEDIATRIC HEALTH TX, LLC

Provider Business Mailing Address
First Line	:	PO BOX 564
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60065-0564
Country	:	US
Telephone Number	:	847-604-0955
Fax Number	:	847-589-5875

Provider Business Practice Location Address
First Line	:	2911 MEDICAL ARTS ST STE 20
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3302
Country	:	US
Telephone Number	:	512-969-9411
Fax Number	:	847-589-5875

Authorized Official
Title or Position	:	MANAGER
Name	:	VEENA ANAND
Credential	:
Telephone Number	:	847-376-9191

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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