Provider Demographics
NPI:1700411642
Name:BEHAVIORAL FOCUS
Entity Type:Organization
Organization Name:BEHAVIORAL FOCUS
Other - Org Name:BEHAVIORAL FOCUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRUBE CASSANDRA MILL
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA, LBA, LPC
Authorized Official - Phone:903-818-5979
Mailing Address - Street 1:3101 APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6206
Mailing Address - Country:US
Mailing Address - Phone:903-818-5979
Mailing Address - Fax:866-373-8243
Practice Address - Street 1:749 GATEWAY STE F-702
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1196
Practice Address - Country:US
Practice Address - Phone:325-530-4089
Practice Address - Fax:866-373-8243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX64745OtherLICENSED PROFESSIONAL COUNSELOR
1-17-26192OtherBCBA NUMBER
TX4000770Medicaid