| Autism Complete Care Inc | |
|
669 Airport Fwy Ste 401 Hurst TX 76053-3964 | |
| (469) 964-7959 | |
| Not Available |
| Full Name | Autism Complete Care Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 669 Airport Fwy Ste 401, Hurst, Texas |
| Authorized Official Name and Position | Venket Kandanala (CEO) |
| Authorized Official Contact | 4699647959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Complete Care Inc 669 Airport Fwy Ste 401 Hurst TX 76053-3964 Ph: (469) 964-7959 | Autism Complete Care Inc 669 Airport Fwy Ste 401 Hurst TX 76053-3964 Ph: (469) 964-7959 |
| NPI Number | 1770317323 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 09/01/2024 |
| Certification Date | 09/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770317323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
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