Provider Demographics
NPI:1043754773
Name:STEINER RANCH BEHAVIOR THERAPY INC
Entity Type:Organization
Organization Name:STEINER RANCH BEHAVIOR THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SHUBERT
Authorized Official - Last Name:HAAK
Authorized Official - Suffix:
Authorized Official - Credentials:PH D, BCBA-D
Authorized Official - Phone:512-636-0395
Mailing Address - Street 1:8500 MESA DR
Mailing Address - Street 2:SIDE A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8120
Mailing Address - Country:US
Mailing Address - Phone:512-636-5467
Mailing Address - Fax:
Practice Address - Street 1:8500 MESA DR
Practice Address - Street 2:SIDE A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8120
Practice Address - Country:US
Practice Address - Phone:512-636-5467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11415419251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health