Provider Demographics
NPI:1083449698
Name:HILL COUNTRY ABA LLC
Entity type:Organization
Organization Name:HILL COUNTRY ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGFRIED
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:210-882-6062
Mailing Address - Street 1:208 COUNTY ROAD 260 W
Mailing Address - Street 2:
Mailing Address - City:MICO
Mailing Address - State:TX
Mailing Address - Zip Code:78056-5256
Mailing Address - Country:US
Mailing Address - Phone:210-882-6062
Mailing Address - Fax:
Practice Address - Street 1:208 CR 260 W
Practice Address - Street 2:
Practice Address - City:MICO
Practice Address - State:TX
Practice Address - Zip Code:78056
Practice Address - Country:US
Practice Address - Phone:210-882-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty