Healthcare Provider Details
I. General information
NPI: 1063321966
Provider Name (Legal Business Name): ASH BEHAVIORAL THERAPIES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US
IV. Provider business mailing address
PO BOX 46
MC NEIL TX
78651-0046
US
V. Phone/Fax
- Phone: 415-595-2568
- Fax:
- Phone: 415-595-2568
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARIA
PISOR
Title or Position: MANAGING MEMBER
Credential: BCBA, LBA
Phone: 415-595-2568