Provider Demographics
NPI:1467173732
Name:BIK BEHAVIORAL INTERVENTION KATY LLC
Entity Type:Organization
Organization Name:BIK BEHAVIORAL INTERVENTION KATY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:ESMERALDA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:BEHAVIORAL ANALYST
Authorized Official - Phone:346-714-5765
Mailing Address - Street 1:29427 PAYTONS PARK CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4052
Mailing Address - Country:US
Mailing Address - Phone:346-714-5765
Mailing Address - Fax:
Practice Address - Street 1:29427 PAYTONS PARK CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4052
Practice Address - Country:US
Practice Address - Phone:346-714-5765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty