Provider Demographics
NPI:1790935062
Name:CONSULTING 4 CHILDREN ON THE SPECTRUM, LLC.
Entity Type:Organization
Organization Name:CONSULTING 4 CHILDREN ON THE SPECTRUM, LLC.
Other - Org Name:CONSULTING 4 THE SPECTRUM, LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LICENSED & BOARD CERTIFIED BE
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:WARQUINYA
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LBA-BCBA
Authorized Official - Phone:972-704-3829
Mailing Address - Street 1:4865 HEDGCOXE ROAD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024
Mailing Address - Country:US
Mailing Address - Phone:972-704-3829
Mailing Address - Fax:972-346-8036
Practice Address - Street 1:4865 HEDGCOXE ROAD
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:972-704-3829
Practice Address - Fax:972-346-8036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-05-2618251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health