Provider Demographics
NPI:1275041907
Name:CALLAHAN ACADEMY FOR EXCELLENCE
Entity Type:Organization
Organization Name:CALLAHAN ACADEMY FOR EXCELLENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRINA
Authorized Official - Middle Name:ARLEEN
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:228-326-4266
Mailing Address - Street 1:2353 INFANTRY POST RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-1309
Mailing Address - Country:US
Mailing Address - Phone:228-326-4266
Mailing Address - Fax:855-230-1464
Practice Address - Street 1:2353 INFANTRY POST RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-1309
Practice Address - Country:US
Practice Address - Phone:228-326-4266
Practice Address - Fax:855-230-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS160036103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty