MEDICARE: CENTER FOR AUTISM AND BEHAVIORAL DISORDERS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1316410897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR AUTISM AND BEHAVIORAL DISORDERS

Provider Business Mailing Address
First Line	:	806 PROMISE DR
Second Line	:
City	:	HEATH
State	:	TX
Zip	:	75126-1537
Country	:	US
Telephone Number	:	559-759-8894
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 PROMISE DR
Second Line	:
City	:	HEATH
State	:	TX
Zip	:	75126-1537
Country	:	US
Telephone Number	:	559-759-8894
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	LORRAINE SALCEDO
Credential	:
Telephone Number	:	805-277-3392

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	01/07/2019

Similar Medicare Providers

1003764424 — MELVIS KIMBENG TAMBI
Practice Location Address:

712 PROVERBS COURT
HEATH, TX
75126

Practice Phone: 763-516-5272
Practice Fax: 763-516-5272

1962458224 — DR. LEE ANN WATKINS KEELING MD
Practice Location Address:

2815 ABUNDANT CT
HEATH, TX
75126-1698

Practice Phone: 903-597-0351
Practice Fax: 903-592-5282

1730396607 — DR. ARETHA LYNN FISHER PSY.D.
Practice Location Address:

4130 ELLINGER DR
HEATH, TX
75126-3721

Practice Phone: 510-332-5042
Practice Fax:

1881176618 — JEMIMA ESAPAYA OTIENO I
Practice Location Address:

3011 BLACK HILLS BLVD
HEATH, TX
75126-0615

Practice Phone: 972-502-0918
Practice Fax:

1790397487 — MR. JOEL LYNN SMITH RN
Practice Location Address:

2333 CLOVER CT
HEATH, TX
75126-1688

Practice Phone: 214-558-2975
Practice Fax:

1073276606 — COMPASS POINT HEALTH LLC
Practice Location Address:

3504 GOLDEN BELL CT
HEATH, TX
75126-2524

Practice Phone: 302-339-1116
Practice Fax:

Directions to “CENTER FOR AUTISM AND BEHAVIORAL DISORDERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.