MEDICARE: ADVANCED BEHAVIORAL INTERVENTION THERAPIES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	225100000X	Physical Therapist
4	106S00000X	Behavior Technician
5	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1740070010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED BEHAVIORAL INTERVENTION THERAPIES, INC

Provider Business Mailing Address
First Line	:	11503 JONES MALTSBERGER RD STE 1104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2630
Country	:	US
Telephone Number	:	210-264-7053
Fax Number	:

Provider Business Practice Location Address
First Line	:	11503 JONES MALTSBERGER RD STE 1104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2630
Country	:	US
Telephone Number	:	210-264-7053
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEFANI LYNN BACHMEIER-CLEMMER
Credential	:
Telephone Number	:	210-264-7053

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	10/02/2025

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