Healthcare Provider Details

I. General information

NPI: 1508627779
Provider Name (Legal Business Name): COMMUNITY AUTISM INTERVENTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 AIRPORT FWY STE 150
HURST TX
76054-3253
US

IV. Provider business mailing address

900 AIRPORT FWY STE 150
HURST TX
76054-3253
US

V. Phone/Fax

Practice location:
  • Phone: 817-494-0099
  • Fax: 817-494-0099
Mailing address:
  • Phone: 817-494-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ISABEL VELA
Title or Position: BCBA
Credential: MS, BCBA, LBA
Phone: 817-494-0099