Healthcare Provider Details
I. General information
NPI: 1376418046
Provider Name (Legal Business Name): ACTION BEHAVIOR CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5700 S MOPAC EXPY # C310
AUSTIN TX
78749-1461
US
IV. Provider business mailing address
6300 BEE CAVES RD BLDG 100
AUSTIN TX
78746-5833
US
V. Phone/Fax
- Phone: 512-458-0260
- Fax:
- Phone: 512-774-3702
- 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:
TAYLOR
NICOLE
THOMPSON
Title or Position: BCBA
Credential: BCBA, LBA, MS
Phone: 765-413-8864