Provider Demographics
NPI:1306302195
Name:APEX BEHAVIOR SERVICES LLC
Entity type:Organization
Organization Name:APEX BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:CAITLIN
Authorized Official - Last Name:DAHL HATTON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:541-227-9115
Mailing Address - Street 1:592 CHISHOLM RANCH DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-2640
Mailing Address - Country:US
Mailing Address - Phone:541-227-9115
Mailing Address - Fax:
Practice Address - Street 1:592 CHISHOLM RANCH DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-2640
Practice Address - Country:US
Practice Address - Phone:541-227-9115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-16
Last Update Date:2019-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1437668258Medicaid