Provider Demographics
NPI:1144811514
Name:BENDEKOVIC, REBECCA NICOLE (MED, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:NICOLE
Last Name:BENDEKOVIC
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 N CAPITAL OF TEXAS HWY APT 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1132
Mailing Address - Country:US
Mailing Address - Phone:772-607-0878
Mailing Address - Fax:
Practice Address - Street 1:3423 BEE CAVES RD
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-7180
Practice Address - Country:US
Practice Address - Phone:512-524-1374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3703103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst