Provider Demographics
NPI:1760748198
Name:DEVELOPMENTAL INTERVENTIONS, LLC
Entity Type:Organization
Organization Name:DEVELOPMENTAL INTERVENTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:GARCIA BS, BCABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-884-8703
Mailing Address - Street 1:7639 SPANISH WOOD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4260
Mailing Address - Country:US
Mailing Address - Phone:210-884-8703
Mailing Address - Fax:
Practice Address - Street 1:7639 SPANISH WOOD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4260
Practice Address - Country:US
Practice Address - Phone:210-884-8703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0-09-3536103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty