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NPI Code Detail

MEDICARE: ABA GRATEFUL CARE TX LLC

MEDICARE: ABA GRATEFUL CARE TX LLC
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 Analyst

General Provider Information

NPI Number : 1093645285
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABA GRATEFUL CARE TX LLC
Provider Business Mailing Address
First Line : 1445 NORTH LOOP WEST 242F #1099
Second Line :
City : HOUSTON
State : TX
Zip : 77008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7823 LUDINGTON DR
Second Line :
City : HOUSTON
State : TX
Zip : 77071-2501
Country : US
Telephone Number : 317-572-5315
Fax Number :
Authorized Official
Title or Position : CEO
Name : REUVEN LEVOVITZ
Credential :
Telephone Number : 347-572-5315
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ABA GRATEFUL CARE TX LLC ” Practice Location

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