Provider Demographics
NPI:1295192045
Name:THE AUSBIE AFFECT
Entity Type:Organization
Organization Name:THE AUSBIE AFFECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAKELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSBIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-776-3827
Mailing Address - Street 1:7150 SMILING WOOD LN APT 1307
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-3142
Mailing Address - Country:US
Mailing Address - Phone:713-213-4918
Mailing Address - Fax:
Practice Address - Street 1:7150 SMILING WOOD LN APT 1307
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-3142
Practice Address - Country:US
Practice Address - Phone:713-213-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency