| The Johnson Center For Child Health And Development | |
|
1700 Rio Grande St Ste 200 Austin TX 78701-1124 | |
| (512) 732-8400 | |
| (512) 732-8353 |
| Full Name | The Johnson Center For Child Health And Development |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1700 Rio Grande St Ste 200, Austin, Texas |
| Authorized Official Name and Position | Anissa Ryland (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5127328400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Johnson Center For Child Health And Development 1700 Rio Grande St Ste 200 Austin TX 78701-1124 Ph: (512) 732-8400 | The Johnson Center For Child Health And Development 1700 Rio Grande St Ste 200 Austin TX 78701-1124 Ph: (512) 732-8400 |
| NPI Number | 1679851042 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679851042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-6775 (Texas) | Primary |
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