Provider Demographics
NPI:1649866302
Name:BALANCE BEHAVIOR AUSTIN
Entity type:Organization
Organization Name:BALANCE BEHAVIOR AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:512-522-6245
Mailing Address - Street 1:2675 CRAZYHORSE PASS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-2864
Mailing Address - Country:US
Mailing Address - Phone:512-522-6245
Mailing Address - Fax:
Practice Address - Street 1:2675 CRAZYHORSE PASS
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734-2864
Practice Address - Country:US
Practice Address - Phone:512-522-6245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty