| Collaborative Behavioral Services, Llc | |
|
2150 W Northwest Hwy # 114-1045 Grapevine TX 76051-6989 | |
| (817) 937-9804 | |
| Not Available |
| Full Name | Collaborative Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2150 W Northwest Hwy # 114-1045, Grapevine, Texas |
| Authorized Official Name and Position | Leah Fennema (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8179379804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Behavioral Services, Llc 2150 W Northwest Hwy # 114-1045 Grapevine TX 76051-6989 Ph: () - | Collaborative Behavioral Services, Llc 2150 W Northwest Hwy # 114-1045 Grapevine TX 76051-6989 Ph: (817) 937-9804 |
| NPI Number | 1467112532 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467112532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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