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NPI Code Detail

MEDICARE: AUTISM BEHAVIOR SOLUTIONS, PC

MEDICARE: AUTISM BEHAVIOR SOLUTIONS, PC
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 Analyst

General Provider Information

NPI Number : 1568122398
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM BEHAVIOR SOLUTIONS, PC
Provider Business Mailing Address
First Line : 2950 NORTH LOOP W STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8830
Country : US
Telephone Number : 877-338-7736
Fax Number :
Provider Business Practice Location Address
First Line : 2950 NORTH LOOP W STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8830
Country : US
Telephone Number : 877-338-7736
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KENNETH BURG
Credential : LBA
Telephone Number : 877-338-7736
Provider Enumeration Date : 12/21/2021
Last Update Date : 12/21/2021

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Directions to “AUTISM BEHAVIOR SOLUTIONS, PC ” Practice Location

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