| Community Autism Intervention | |
|
140 Mockingbird Hill Dr Joshua TX 76058 | |
| (520) 456-7071 | |
| Not Available |
| Full Name | Community Autism Intervention |
|---|---|
| Speciality | Behavior Analyst |
| Location | 140 Mockingbird Hill Dr, Joshua, Texas |
| Authorized Official Name and Position | Isabel Vela (BCBA) |
| Authorized Official Contact | 8174940099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Autism Intervention 140 Mockingbird Hill Dr. Joshua TX 76058 Ph: (817) 494-0099 | Community Autism Intervention 140 Mockingbird Hill Dr Joshua TX 76058 Ph: (520) 456-7071 |
| NPI Number | 1508627779 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508627779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Legal Business Name Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Independence Dr, Joshua, TX 76058 Phone: 903-237-9689 |