Provider Demographics
NPI:1649598293
Name:MILLS, AUTUMN BARBEE (BCABA)
Entity Type:Individual
Prefix:
First Name:AUTUMN
Middle Name:BARBEE
Last Name:MILLS
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14110 CYPRESS CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3214
Mailing Address - Country:US
Mailing Address - Phone:281-894-1423
Mailing Address - Fax:281-894-1422
Practice Address - Street 1:14110 CYPRESS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-3214
Practice Address - Country:US
Practice Address - Phone:281-894-1423
Practice Address - Fax:281-894-1422
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0-08-2561103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst