| Sandbox Aba | |
|
4007 Marathon Blvd Austin TX 78756-3717 | |
| (512) 524-1374 | |
| (512) 524-1355 |
| Full Name | Sandbox Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4007 Marathon Blvd, Austin, Texas |
| Authorized Official Name and Position | Rebecca Ryan (OWNER) |
| Authorized Official Contact | 5125900505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandbox Aba Po Box 303067 Austin TX 78703-0052 Ph: (512) 590-0505 | Sandbox Aba 4007 Marathon Blvd Austin TX 78756-3717 Ph: (512) 524-1374 |
| NPI Number | 1598037095 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 11/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598037095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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