Provider Demographics
NPI:1053472035
Name:CENTRAL TEXAS AUTISM CENTER, LLC
Entity Type:Organization
Organization Name:CENTRAL TEXAS AUTISM CENTER, LLC
Other - Org Name:CENTRAL TEXAS AUTISM CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ONEYDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-328-5599
Mailing Address - Street 1:3006 BEE CAVES RD
Mailing Address - Street 2:STE B 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-328-5599
Mailing Address - Fax:512-328-5585
Practice Address - Street 1:3006 BEE CAVES RD
Practice Address - Street 2:STE B 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-328-5599
Practice Address - Fax:512-328-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000216OtherBACB