Provider Demographics
NPI:1124735857
Name:EDUCATION TREE LLC
Entity type:Organization
Organization Name:EDUCATION TREE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, BSHCA
Authorized Official - Phone:281-656-8726
Mailing Address - Street 1:5330 FRY RD STE H
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6921
Mailing Address - Country:US
Mailing Address - Phone:281-656-8726
Mailing Address - Fax:
Practice Address - Street 1:5330 FRY RD STE H
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6921
Practice Address - Country:US
Practice Address - Phone:281-656-8726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty