Provider Demographics
NPI:1851995294
Name:FAST TRACK ABA CENTER LLC
Entity Type:Organization
Organization Name:FAST TRACK ABA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATCHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-505-9304
Mailing Address - Street 1:20751 HOLLY RAIN DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1667
Mailing Address - Country:US
Mailing Address - Phone:713-505-9304
Mailing Address - Fax:
Practice Address - Street 1:20751 HOLLY RAIN DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1667
Practice Address - Country:US
Practice Address - Phone:713-505-9304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health