Provider Demographics
NPI:1154024024
Name:DEVELOPMENT FOR AUTISM AND RELATED TREATMENT
Entity type:Organization
Organization Name:DEVELOPMENT FOR AUTISM AND RELATED TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:714-932-8704
Mailing Address - Street 1:1920 E RIVERSIDE DR STE A-120
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-1350
Mailing Address - Country:US
Mailing Address - Phone:714-932-8704
Mailing Address - Fax:
Practice Address - Street 1:1116 ELEANOR ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78721-2116
Practice Address - Country:US
Practice Address - Phone:714-932-8704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty