Provider Demographics
NPI:1952016156
Name:SERVING HANDS ABA , PLLC
Entity Type:Organization
Organization Name:SERVING HANDS ABA , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BOETTCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:214-897-0405
Mailing Address - Street 1:465 CHAMBERS PL
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1362
Mailing Address - Country:US
Mailing Address - Phone:214-897-0405
Mailing Address - Fax:
Practice Address - Street 1:465 CHAMBERS PL
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:TX
Practice Address - Zip Code:75069-1362
Practice Address - Country:US
Practice Address - Phone:214-897-0405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty