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NPI Code Detail

MEDICARE: CORA AUTISM AND COMMUNICATION SERVICES LLC

MEDICARE: CORA AUTISM AND COMMUNICATION SERVICES 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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1194659011
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORA AUTISM AND COMMUNICATION SERVICES LLC
Provider Business Mailing Address
First Line : 12625 KEITHA ADAMS DR
Second Line :
City : HORIZON CITY
State : TX
Zip : 79928-7515
Country : US
Telephone Number : 575-956-3681
Fax Number :
Provider Business Practice Location Address
First Line : 12625 KEITHA ADAMS DR
Second Line :
City : HORIZON CITY
State : TX
Zip : 79928-7515
Country : US
Telephone Number : 575-956-3681
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MRS. BIANCA SANCHEZ
Credential : BCBA
Telephone Number : 575-956-3681
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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