Provider Demographics
NPI:1629432992
Name:UNLOCKING THE SPECTRUM TEXAS, LLC
Entity Type:Organization
Organization Name:UNLOCKING THE SPECTRUM TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ILANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ-RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:812-360-4851
Mailing Address - Street 1:5556 N MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-2658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21613 RHODES RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3026
Practice Address - Country:US
Practice Address - Phone:281-407-1690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNLOCKING THE SPECTRUM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-12
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty