Provider Demographics
NPI:1700653391
Name:STRIVE-N-THRIVE ABA, LLC
Entity Type:Organization
Organization Name:STRIVE-N-THRIVE ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MAURO
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-525-3173
Mailing Address - Street 1:167 LAS MITRAS LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-5682
Mailing Address - Country:US
Mailing Address - Phone:956-346-4435
Mailing Address - Fax:
Practice Address - Street 1:167 LAS MITRAS LN
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-5682
Practice Address - Country:US
Practice Address - Phone:956-346-4435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty