Provider Demographics
NPI:1770852253
Name:PRIMA A.D.D.
Entity Type:Organization
Organization Name:PRIMA A.D.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BINNIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-386-8599
Mailing Address - Street 1:12160 ABRAMS RD STE 615
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4547
Mailing Address - Country:US
Mailing Address - Phone:972-386-8599
Mailing Address - Fax:972-386-8597
Practice Address - Street 1:12160 ABRAMS RD STE 615
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4547
Practice Address - Country:US
Practice Address - Phone:972-386-8599
Practice Address - Fax:972-386-8597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31095103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty