Provider Demographics
NPI:1629502117
Name:LEARNING THROUGH BEHAVIOR
Entity Type:Organization
Organization Name:LEARNING THROUGH BEHAVIOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QASPS
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDEROFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-249-8386
Mailing Address - Street 1:1200 E STAN SCHLUETER LOOP
Mailing Address - Street 2:SUITE 107
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-5481
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 E STAN SCHLUETER LOOP
Practice Address - Street 2:SUITE 107
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-5481
Practice Address - Country:US
Practice Address - Phone:727-278-2479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty