Provider Demographics
NPI:1316211089
Name:BEHAVIOR WORKS, LLC
Entity type:Organization
Organization Name:BEHAVIOR WORKS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:NIPPER
Authorized Official - Suffix:
Authorized Official - Credentials:M ED BCBA
Authorized Official - Phone:832-703-4663
Mailing Address - Street 1:3338 CRESTDALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-1247
Mailing Address - Country:US
Mailing Address - Phone:832-703-4663
Mailing Address - Fax:713-690-0515
Practice Address - Street 1:3338 CRESTDALE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-1247
Practice Address - Country:US
Practice Address - Phone:832-703-4663
Practice Address - Fax:713-690-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-10-7773103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty