Provider Demographics
NPI:1659818292
Name:ASD TREATMENT OF TEXAS, LLC
Entity Type:Organization
Organization Name:ASD TREATMENT OF TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALHOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-820-8770
Mailing Address - Street 1:5728 ARABELLE CRST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1294
Mailing Address - Country:US
Mailing Address - Phone:281-820-8770
Mailing Address - Fax:
Practice Address - Street 1:5728 ARABELLE CRST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-1294
Practice Address - Country:US
Practice Address - Phone:281-820-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARABELLE LAKE HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health