Healthcare Provider Details

I. General information

NPI: 1245972827
Provider Name (Legal Business Name): CIELO BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3698 RANCH ROAD 620 S # 115
BEE CAVE TX
78738-6809
US

IV. Provider business mailing address

3698 RANCH ROAD 620 S # 115
BEE CAVE TX
78738-6809
US

V. Phone/Fax

Practice location:
  • Phone: 512-806-1364
  • Fax: 512-806-1364
Mailing address:
  • Phone: 512-806-1364
  • Fax: 512-806-1364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ERIN ABDULLAH
Title or Position: EXECUTIVE DIRECTOR
Credential: BCBA
Phone: 512-806-1364