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NPI Code Detail

MEDICARE: ACTION BEHAVIOR CENTERS THERAPY LLC

MEDICARE: ACTION BEHAVIOR CENTERS THERAPY 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 Analyst
2103T00000XPsychologist

General Provider Information

NPI Number : 1649134354
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTION BEHAVIOR CENTERS THERAPY LLC
Provider Business Mailing Address
First Line : 6300 BEE CAVES RD BLDG 2-100
Second Line :
City : AUSTIN
State : TX
Zip : 78746-5842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25551 E SMOKY HILL RD
Second Line :
City : AURORA
State : CO
Zip : 80016-1391
Country : US
Telephone Number : 720-457-3100
Fax Number :
Authorized Official
Title or Position : CREDENTIALING DIRECTOR
Name : SAMANTHA L GOMEZ
Credential :
Telephone Number : 512-508-3941
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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