NPI Code Details Logo

NPI 1073470571

NPI 1073470571 : FIRM FOUNDATIONS ABA LLC : ANNA, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073470571
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FIRM FOUNDATIONS ABA LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/06/2026
-----------------------------------------------------
    Last Update Date     |    01/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    609 PURDUE RD 
-----------------------------------------------------
    City                 |    ANNA
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75409-2656
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-288-5300
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    609 PURDUE RD 
-----------------------------------------------------
    City                 |    ANNA
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75409-2656
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-288-5300
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     PAUL  BOETTCHER 
-----------------------------------------------------
    Credential           |    BCBA
-----------------------------------------------------
    Telephone            |    469-288-5300
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.