Provider Demographics
NPI:1841613593
Name:BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS PA
Entity Type:Organization
Organization Name:BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOORI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-243-6800
Mailing Address - Street 1:9612 SANTA FE CIR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4671
Mailing Address - Country:US
Mailing Address - Phone:972-243-6800
Mailing Address - Fax:
Practice Address - Street 1:9612 SANTA DE CIRCLE
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4671
Practice Address - Country:US
Practice Address - Phone:972-243-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32512103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty