NPI 1033506985 · live from the CMS NPI Registry
Achievement, Balance, Community, Pediatrics
Social Worker, Clinical in Flower Mound, TX. National Provider Identifier 1033506985, active.
NPI record
| NPI | 1033506985 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 830 Parker Sq, Flower Mound, TX 75028 |
| Practice phone | 214-616-2932 |
| Enumerated | April 17, 2015 |
| Last updated | September 15, 2015 |
| Authorized official | Ericka Ervin, Director Of Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-06-2769 (FL) |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 56129 (TX) |
| Speech-Language Pathologist, | 235Z00000X | 19493 (TX) |
| Occupational Therapist, Pediatrics | 225XP0200X | — (TX) |
| Physical Therapist, Pediatrics | 2251P0200X | — (TX) |
| Social Worker, Clinical primary | 1041C0700X | 56129 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.