Provider Demographics
NPI:1346911914
Name:AUTISM AND BEHAVIORAL TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:AUTISM AND BEHAVIORAL TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:CLOUSER
Authorized Official - Suffix:JR
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:281-777-4635
Mailing Address - Street 1:11522 ENDICOTT LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-2914
Mailing Address - Country:US
Mailing Address - Phone:281-777-4635
Mailing Address - Fax:
Practice Address - Street 1:11522 ENDICOTT LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-2914
Practice Address - Country:US
Practice Address - Phone:281-777-4635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health