| Balance Behavior Austin | |
|
2675 Crazyhorse Pass Austin TX 78734-2864 | |
| (737) 231-1850 | |
| Not Available |
| Full Name | Balance Behavior Austin |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2675 Crazyhorse Pass, Austin, Texas |
| Authorized Official Name and Position | Laurin Ettel (OWNER/CEO) |
| Authorized Official Contact | 5122005478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Behavior Austin Po Box 342511 Austin TX 78734-0042 Ph: (737) 231-1850 | Balance Behavior Austin 2675 Crazyhorse Pass Austin TX 78734-2864 Ph: (737) 231-1850 |
| NPI Number | 1649866302 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649866302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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