Provider Demographics
NPI:1245822147
Name:BEHAVIORAL AND SPEECH INSTITUTE OF TEXAS PLLC
Entity type:Organization
Organization Name:BEHAVIORAL AND SPEECH INSTITUTE OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:HERMENEGILDO
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, CCC/SLP
Authorized Official - Phone:956-655-3614
Mailing Address - Street 1:3412 SAINT HONORE DR
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0827
Mailing Address - Country:US
Mailing Address - Phone:305-433-0485
Mailing Address - Fax:305-675-7943
Practice Address - Street 1:3412 SAINT HONORE DR
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-0827
Practice Address - Country:US
Practice Address - Phone:305-433-0485
Practice Address - Fax:305-675-7943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty