Healthcare Provider Details

I. General information

NPI: 1386185015
Provider Name (Legal Business Name): HAPPY KIDS AUTISM INTERVENTION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 W FM 2410 RD
HARKER HEIGHTS TX
76548-1607
US

IV. Provider business mailing address

703 W FM 2410 RD
HARKER HEIGHTS TX
76548-1607
US

V. Phone/Fax

Practice location:
  • Phone: 254-716-8743
  • Fax: 254-227-6027
Mailing address:
  • Phone: 254-716-8743
  • Fax: 254-227-6027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PATRICIA SUZANNE STEWART
Title or Position: OWNER
Credential: BCBA
Phone: 254-716-8743