MEDICARE: TRUE NORTH THERAPIES PLLC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1811705304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE NORTH THERAPIES PLLC

Provider Business Mailing Address
First Line	:	605 MEADOWCREST DR
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7485
Country	:	US
Telephone Number	:	817-532-3302
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 ALTAMESA BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5711
Country	:	US
Telephone Number	:	817-532-3302
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO/CLINICIAN
Name	:	MRS. NICOLE CRUZ
Credential	:	MA BCBA LBA
Telephone Number	:	817-532-3302

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	12/30/2024

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