Provider Demographics
NPI:1114273380
Name:UNIVERSITY OF NORTH TEXAS
Entity Type:Organization
Organization Name:UNIVERSITY OF NORTH TEXAS
Other - Org Name:UNT KRISTEN FARMER AUTISM CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING & INSURANCE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAILIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-565-4998
Mailing Address - Street 1:490 S INTERSTATE 35 E
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7768
Mailing Address - Country:US
Mailing Address - Phone:940-369-7426
Mailing Address - Fax:855-217-6179
Practice Address - Street 1:490 S INTERSTATE 35 E
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7768
Practice Address - Country:US
Practice Address - Phone:940-369-7426
Practice Address - Fax:855-217-6179
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF NORTH TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-25
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty