Provider Demographics
NPI:1164006607
Name:UMBRELLA UNITED
Entity Type:Organization
Organization Name:UMBRELLA UNITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PABON-CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, BCBA, LBA
Authorized Official - Phone:787-405-3310
Mailing Address - Street 1:1201 S MAYS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6709
Mailing Address - Country:US
Mailing Address - Phone:787-405-3310
Mailing Address - Fax:
Practice Address - Street 1:1201 S MAYS ST STE 100
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6709
Practice Address - Country:US
Practice Address - Phone:512-305-3920
Practice Address - Fax:512-861-9092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty