Provider Demographics
NPI:1659784874
Name:NOVA PENSION
Entity Type:Organization
Organization Name:NOVA PENSION
Other - Org Name:LEARNING CONTINUUM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:BARROWS
Authorized Official - Last Name:CARLE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:832-370-3091
Mailing Address - Street 1:19030 WATERFORD CV
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-3480
Mailing Address - Country:US
Mailing Address - Phone:832-370-3091
Mailing Address - Fax:
Practice Address - Street 1:19030 WATERFORD CV
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094
Practice Address - Country:US
Practice Address - Phone:832-370-3091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOVA PENSION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-05
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-11-7991103K00000X
TX1117991103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1972874329Medicare PIN