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NPI Code Detail

MEDICARE: ACTION BEHAVIOR CENTERS, LLC

MEDICARE: ACTION BEHAVIOR CENTERS, 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 : 1649986688
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTION BEHAVIOR CENTERS, LLC
Provider Business Mailing Address
First Line : 1601 S MOPAC EXPY
Second Line : STE C300
City : AUSTIN
State : TX
Zip : 78746-7077
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1865 W 121ST AVE
Second Line : SUITE 200
City : WESTMINSTER
State : CO
Zip : 80234-2337
Country : US
Telephone Number : 720-588-1500
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : SAMANTHA L GOMEZ
Credential :
Telephone Number : 512-551-1717
Provider Enumeration Date : 01/24/2023
Last Update Date : 01/24/2023

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1518639210 — ACTION BEHAVIOR CENTERS, LLC
Practice Location Address:
1865 W 121ST AVE STE 200
WESTMINSTER, CO
80234-2337
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Practice Fax: 512-957-0699

Directions to “ACTION BEHAVIOR CENTERS, LLC ” Practice Location

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