MEDICARE: IN FOCUS PEDIATRIC LEARNING AND BEHAVIORAL CENTER, INC

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	103TB0200X	Cognitive & Behavioral Psychologist

General Provider Information

NPI Number	:	1730051640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN FOCUS PEDIATRIC LEARNING AND BEHAVIORAL CENTER, INC

Provider Business Mailing Address
First Line	:	6350 SOUTHPOINT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-2108
Country	:	US
Telephone Number	:	972-375-1132
Fax Number	:

Provider Business Practice Location Address
First Line	:	16135 PRESTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-3599
Country	:	US
Telephone Number	:	972-375-1132
Fax Number	:

Authorized Official
Title or Position	:	OWNER, EDUCATIONAL DIAGNOSTICIAN
Name	:	MISS KATHERINE SULAK
Credential	:	M.ED
Telephone Number	:	972-375-1132

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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