Provider Demographics
NPI:1003399569
Name:29 ACRES. INC.
Entity Type:Organization
Organization Name:29 ACRES. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAUDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-550-8831
Mailing Address - Street 1:3000 MOSELEY RD
Mailing Address - Street 2:
Mailing Address - City:CROSSROADS
Mailing Address - State:TX
Mailing Address - Zip Code:76227-8096
Mailing Address - Country:US
Mailing Address - Phone:817-832-9346
Mailing Address - Fax:
Practice Address - Street 1:3000 MOSELEY RD
Practice Address - Street 2:
Practice Address - City:CROSSROADS
Practice Address - State:TX
Practice Address - Zip Code:76227-8096
Practice Address - Country:US
Practice Address - Phone:214-550-8831
Practice Address - Fax:972-591-4528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1648OtherBCBA LICENSURE