Healthcare Provider Details

I. General information

NPI: 1467073759
Provider Name (Legal Business Name): TOPAZ ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 09/02/2025
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S MO PAC EXPY STE 300
AUSTIN TX
78746-5883
US

IV. Provider business mailing address

5703 WAGON TRAIN RD
AUSTIN TX
78749-2835
US

V. Phone/Fax

Practice location:
  • Phone: 512-983-2234
  • Fax:
Mailing address:
  • Phone: 512-983-2234
  • Fax: 855-234-1417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: KATIE WORRELL
Title or Position: OWNER/DIRECTOR
Credential: MA, BCBA, LBA
Phone: 512-983-2234