| NPI | 1003452574 |
|---|---|
| Doing Business As | PROVIDENCE BEHAVIOR THERAPY |
| Entity Type | Organization |
| Authorized Contact | HEATHER SKEEN Owner 512-200-2792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2024-11-04 |