Blue Jays Aba Therapy Center of Texas Pllc

NPI #1578368148 in Needville, Texas

Provider Information

NPI Number: 1578368148
Entity Type: Organization
Organization Name: Blue Jays Aba Therapy Center of Texas Pllc
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 17, 2025
Last Updated: Feb 17, 2025

Practice Location

Address: 9135 KOSTELNIK ST
City: Needville
State: Texas
ZIP Code: 77461-7920
Phone: (617) 820-7430

Authorized Official

Name: FABIO KELLING BERTUOL, BCBA
Title: OWNER/CLINICAL DIRECTOR
Phone: (617) 820-7430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Behavior Analyst	103K00000X	Primary

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