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NPI Code Detail

MEDICARE: THE GROVE PREPARATORY

MEDICARE: THE GROVE PREPARATORY
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

General Provider Information

NPI Number : 1801427877
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE GROVE PREPARATORY
Provider Business Mailing Address
First Line : 1824 SAWDUST RD STE 1
Second Line :
City : SPRING
State : TX
Zip : 77380-3667
Country : US
Telephone Number : 832-224-6843
Fax Number :
Provider Business Practice Location Address
First Line : 1824 SAWDUST RD STE 1
Second Line :
City : SPRING
State : TX
Zip : 77380-3667
Country : US
Telephone Number : 832-224-6843
Fax Number :
Authorized Official
Title or Position : SERVICE DIRECTOR
Name : KELLY BIVENS
Credential : BCBA
Telephone Number : 281-610-1987
Provider Enumeration Date : 01/29/2020
Last Update Date : 12/10/2021

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Directions to “THE GROVE PREPARATORY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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