MEDICARE: THE BEHAVIOR GROUP, 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
1	261QH0100X	Health Service Clinic/Center
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1285524439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BEHAVIOR GROUP, LLC

Provider Business Mailing Address
First Line	:	1332 TEASLEY LN # 253
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-7946
Country	:	US
Telephone Number	:	469-382-1202
Fax Number	:

Provider Business Practice Location Address
First Line	:	1332 TEASLEY LN # 253
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-7946
Country	:	US
Telephone Number	:	469-382-1202
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. ETHAN PROTZEL
Credential	:
Telephone Number	:	469-382-1202

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	05/21/2026

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Directions to “THE BEHAVIOR GROUP, LLC ” Practice Location

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