Provider Demographics
NPI:1568122398
Name:AUTISM BEHAVIOR SOLUTIONS, PC
Entity Type:Organization
Organization Name:AUTISM BEHAVIOR SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BURG
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:877-338-7736
Mailing Address - Street 1:2950 NORTH LOOP W STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8830
Mailing Address - Country:US
Mailing Address - Phone:877-338-7736
Mailing Address - Fax:
Practice Address - Street 1:2950 NORTH LOOP W STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-8830
Practice Address - Country:US
Practice Address - Phone:877-338-7736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty