| Patchwork Umbrella Therapies | |
|
2342 Brookhollow Ter Georgetown TX 78626-7346 | |
| (469) 288-0667 | |
| Not Available |
| Full Name | Patchwork Umbrella Therapies |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2342 Brookhollow Ter, Georgetown, Texas |
| Authorized Official Name and Position | Emily Marie Pabon-cruz (BCBA/OWNER) |
| Authorized Official Contact | 7874053310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchwork Umbrella Therapies 1201 S Mays St Ste 100 Round Rock TX 78664-6709 Ph: (512) 305-3920 | Patchwork Umbrella Therapies 2342 Brookhollow Ter Georgetown TX 78626-7346 Ph: (469) 288-0667 |
| NPI Number | 1992325138 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Medicare PECOS PAC ID | 5193147940 |
|---|---|
| Medicare Enrollment ID | O20200624000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992325138 | NPI | - | NPPES |
| Provider Name | Karen Maureen Babson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518293273 PECOS PAC ID: 4789095209 Enrollment ID: I20201208002719 |
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