MEDICARE: TRAINING WHEELS, ABA, 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1336789122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAINING WHEELS, ABA, LLC

Provider Business Mailing Address
First Line	:	322 W WILLIAM CANNON DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5691
Country	:	US
Telephone Number	:	512-820-3825
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 W WILLIAM CANNON DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5691
Country	:	US
Telephone Number	:	512-820-3825
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ADAM JAMES WEINZIMER
Credential	:
Telephone Number	:	516-732-1096

Provider Enumeration Date	:	01/09/2020
Last Update Date	:	02/18/2022

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