Autism Therapies LLC

NPI #1104191758 in Southlake, Texas

Provider Information

NPI Number: 1104191758
Entity Type: Organization
Organization Name: Autism Therapies LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

Address: 594 GARDEN CT
City: Southlake
State: Texas
ZIP Code: 76092-3500
Phone: (817) 925-2979

Authorized Official

Name: MR. LLOYD G SUMMY, MED
Title: MEMBER
Phone: (817) 925-2979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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