Healthcare Provider Details

I. General information

NPI: 1861237141
Provider Name (Legal Business Name): PRINCE ABA CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WEST LAMBERTH SUITE E
SHERMAN TX
75092
US

IV. Provider business mailing address

718 US HIGHWAY 82 E
SHERMAN TX
75090-0528
US

V. Phone/Fax

Practice location:
  • Phone: 903-444-0910
  • Fax:
Mailing address:
  • Phone:
  • 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: KARA STACKS
Title or Position: BCBA
Credential: BCBA
Phone: 903-821-0343