Healthcare Provider Details

I. General information

NPI: 1407668296
Provider Name (Legal Business Name): BTX AUTISM SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 BOCA CHICA BLVD STE 400
BROWNSVILLE TX
78521-4214
US

IV. Provider business mailing address

3505 BOCA CHICA BLVD STE 100
BROWNSVILLE TX
78521-4064
US

V. Phone/Fax

Practice location:
  • Phone: 956-338-5510
  • Fax: 956-368-2390
Mailing address:
  • Phone: 956-338-5510
  • Fax: 956-368-2390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. YADIRA TORRES OROZCO
Title or Position: OWNER/CEO
Credential:
Phone: 956-338-5510