Healthcare Provider Details

I. General information

NPI: 1992635593
Provider Name (Legal Business Name): INCLUSIVE BEHAVIOR PARTNERS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 E PALM VALLEY BLVD UNIT 44
ROUND ROCK TX
78665-3314
US

IV. Provider business mailing address

3750 E PALM VALLEY BLVD UNIT 44
ROUND ROCK TX
78665-3314
US

V. Phone/Fax

Practice location:
  • Phone: 561-512-1177
  • Fax: 855-601-5050
Mailing address:
  • Phone: 561-512-1177
  • Fax: 855-601-5050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CARLY JOHNSON
Title or Position: OWNER
Credential: MA, BCBA, LBA
Phone: 561-512-1177