MEDICARE: TRANSCEND 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	:	1356073233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCEND ABA, LLC

Provider Business Mailing Address
First Line	:	925 S MASON RD STE 514
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3874
Country	:	US
Telephone Number	:	210-324-9197
Fax Number	:

Provider Business Practice Location Address
First Line	:	24214 BRECKENRIDGE PASS LANE
Second Line	:
City	:	HOCKLEY
State	:	TX
Zip	:	77447
Country	:	US
Telephone Number	:	210-324-9197
Fax Number	:

Authorized Official
Title or Position	:	BOARD CERTIFIED BEHAVIOR ANALYST
Name	:	MR. JOE MICHAEL GARCIA JR.
Credential	:	BCBA, LBA
Telephone Number	:	210-324-9197

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	07/09/2024

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