| Autism Therapies Llc | |
|
594 Garden Ct Southlake TX 76092-3500 | |
| (817) 925-2979 | |
| Not Available |
| Full Name | Autism Therapies Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 594 Garden Ct, Southlake, Texas |
| Authorized Official Name and Position | Lloyd G Summy (MEMBER) |
| Authorized Official Contact | 8179252979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Therapies Llc 594 Garden Ct Southlake TX 76092-3500 Ph: (817) 925-2979 | Autism Therapies Llc 594 Garden Ct Southlake TX 76092-3500 Ph: (817) 925-2979 |
| NPI Number | 1104191758 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104191758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 01-12-10467 (* (Not Available)) | Primary |
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