Provider Demographics
NPI:1346849718
Name:TWINKLE AUTISM THERAPY, LLC
Entity Type:Organization
Organization Name:TWINKLE AUTISM THERAPY, LLC
Other - Org Name:TWINKLE PEDIATRIC THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NNENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AWAGU
Authorized Official - Suffix:
Authorized Official - Credentials:DNAP
Authorized Official - Phone:210-797-7187
Mailing Address - Street 1:12175 NETWORK BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3432
Mailing Address - Country:US
Mailing Address - Phone:210-797-7181
Mailing Address - Fax:
Practice Address - Street 1:12175 NETWORK BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3413
Practice Address - Country:US
Practice Address - Phone:210-797-7181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-18
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1194323097OtherNPI
TX1316400104OtherNPI
TX1700519089OtherNPI
TX1053988998OtherNPI
TX1962975847OtherNPI
TX1902316284OtherNPI
TX1134723273OtherNPI
1205287562OtherNPI
TX1477208916OtherNPI
TX1462975847OtherNPI
1649741919OtherNPI
TX1902396922OtherNPI