Provider Demographics
NPI:1386185015
Name:HAPPY KIDS AUTISM INTERVENTION SERVICES, INC.
Entity Type:Organization
Organization Name:HAPPY KIDS AUTISM INTERVENTION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:254-716-8743
Mailing Address - Street 1:1103 SMITH LN
Mailing Address - Street 2:
Mailing Address - City:BRUCEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76630-3256
Mailing Address - Country:US
Mailing Address - Phone:254-716-8743
Mailing Address - Fax:254-227-6027
Practice Address - Street 1:504 W JASPER DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-1312
Practice Address - Country:US
Practice Address - Phone:254-716-8743
Practice Address - Fax:254-227-6027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty