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NPI 1295689503

NPI 1295689503 : AMENITY ABA CENTER LLC : BURLESON, TX

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General NPI Number Information
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    NPI Number           |    1295689503
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMENITY ABA CENTER LLC 
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Dates
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    Enumeration Date     |    02/24/2026
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    Last Update Date     |    02/24/2026
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Provider Practice Location Address
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    Address Line         |    285 OLD HIGHWAY 1187 STE 203 
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    City                 |    BURLESON
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    State                |    TX
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    Zip                  |    76028-0219
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    Country              |    US
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    Telephone            |    346-333-2794
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    Fax                  |    832-404-2649
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Provider Business Mailing Address
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    Address Line         |    4606 FM 1960 RD W STE 520A 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77069-4600
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    Country              |    US
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    Telephone            |    346-333-2794
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    Fax                  |    832-404-2649
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     EMMANUEL  CASTILLA 
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    Credential           |    
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    Telephone            |    346-333-2794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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