Healthcare Provider Details

I. General information

NPI: 1316853294
Provider Name (Legal Business Name): ALESHIA MCCLINTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12407 HYMEADOW DR
AUSTIN TX
78750-1818
US

IV. Provider business mailing address

12407 HYMEADOW DR
AUSTIN TX
78750-1818
US

V. Phone/Fax

Practice location:
  • Phone: 281-290-4411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2840454
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: