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NPI Code Detail

MEDICARE: AUTISM FRIENDLY FAMILY, PLLC

MEDICARE: AUTISM FRIENDLY FAMILY, PLLC
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 Analyst
2106E00000XAssistant Behavior Analyst
3106S00000XBehavior Technician
4251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1689231540
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM FRIENDLY FAMILY, PLLC
Provider Business Mailing Address
First Line : 3919 WOODLAWN AVE STE B
Second Line :
City : PASADENA
State : TX
Zip : 77504-1996
Country : US
Telephone Number : 281-501-7987
Fax Number : 281-962-5018
Provider Business Practice Location Address
First Line : 3919 WOODLAWN AVE STE B
Second Line :
City : PASADENA
State : TX
Zip : 77504-1996
Country : US
Telephone Number : 281-501-7987
Fax Number : 281-962-5018
Authorized Official
Title or Position : CEO
Name : LAUREN LEE
Credential :
Telephone Number : 281-501-7987
Provider Enumeration Date : 05/24/2019
Last Update Date : 05/24/2019

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Directions to “AUTISM FRIENDLY FAMILY, PLLC ” Practice Location

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