| Home Focus Aba | |
|
6804 Capital Of Tx Hwy N 412 Austin TX 78731 | |
| (512) 298-5567 | |
| (512) 394-3222 |
| Full Name | Home Focus Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6804 Capital Of Tx Hwy N 412, Austin, Texas |
| Authorized Official Name and Position | Jessica Lynn Gravel (CO FOUNDER) |
| Authorized Official Contact | 5122985567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Focus Aba 6804 Capital Of Tx Hwy N 412 Austin TX 78731 Ph: (512) 298-5567 | Home Focus Aba 6804 Capital Of Tx Hwy N 412 Austin TX 78731 Ph: (512) 298-5567 |
| NPI Number | 1265889745 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 05/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265889745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-16451 (Texas) | Primary |
| 103K00000X | Behavior Analyst | 1-15-19365 (Texas) | Secondary |
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