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NPI Code Detail

MEDICARE: EMMA ENGELS CROSS BCBA

MEDICARE: EMMA ENGELS CROSS BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-25-83810TX

General Provider Information

NPI Number : 1023866035
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA ENGELS CROSS BCBA
Provider Business Mailing Address
First Line : 5801 DOWNS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-7368
Country : US
Telephone Number : 817-602-6746
Fax Number :
Provider Business Practice Location Address
First Line : 4917 GOLDEN TRIANGLE BLVD STE 421
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4673
Country : US
Telephone Number : 817-945-4505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2024
Last Update Date : 09/02/2025

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Directions to “ EMMA ENGELS CROSS BCBA” Practice Location

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