| The Ivory Academy Autism Center Llc | |
|
4590 Old Town Rd Whitesboro TX 76273-7418 | |
| (903) 818-1301 | |
| Not Available |
| Full Name | The Ivory Academy Autism Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4590 Old Town Rd, Whitesboro, Texas |
| Authorized Official Name and Position | Devyn Power (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 9037189913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ivory Academy Autism Center Llc 4590 Old Town Rd Whitesboro TX 76273-7418 Ph: () - | The Ivory Academy Autism Center Llc 4590 Old Town Rd Whitesboro TX 76273-7418 Ph: (903) 818-1301 |
| NPI Number | 1770303570 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770303570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Amanda G Johnson, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Chapel Ct, Whitesboro, TX 76273 Phone: 817-944-0221 |