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NPI Code Detail

MEDICARE: AUSTIN CONNECT TO WELLNESS, LLC

MEDICARE: AUSTIN CONNECT TO WELLNESS, 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
1103K00000XBehavior Analyst1041740TX
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1457784605
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUSTIN CONNECT TO WELLNESS, LLC
Provider Business Mailing Address
First Line : PO BOX 151716
Second Line :
City : AUSTIN
State : TX
Zip : 78715-1716
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Provider Business Practice Location Address
First Line : 4407 PACK SADDLE PASS
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1623
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : JENNA LOWE
Credential :
Telephone Number : 512-898-9044
Provider Enumeration Date : 08/12/2013
Last Update Date : 05/13/2026

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Directions to “AUSTIN CONNECT TO WELLNESS, LLC ” Practice Location

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