Provider Demographics
NPI:1508627779
Name:COMMUNITY AUTISM INTERVENTION
Entity Type:Organization
Organization Name:COMMUNITY AUTISM INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:520-456-7071
Mailing Address - Street 1:140 MOCKINGBIRD HILL DR.
Mailing Address - Street 2:
Mailing Address - City:JOSHUA
Mailing Address - State:TX
Mailing Address - Zip Code:76058
Mailing Address - Country:US
Mailing Address - Phone:520-456-7071
Mailing Address - Fax:
Practice Address - Street 1:140 MOCKINGBIRD HILL DR
Practice Address - Street 2:
Practice Address - City:JOSHUA
Practice Address - State:TX
Practice Address - Zip Code:76058
Practice Address - Country:US
Practice Address - Phone:520-456-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty