Provider Demographics
NPI:1386378313
Name:CHANGING STORIES AUTISM SERVICES AND CONSULTATION, PLLC
Entity type:Organization
Organization Name:CHANGING STORIES AUTISM SERVICES AND CONSULTATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HEWATT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:620-388-9102
Mailing Address - Street 1:2703 PORTO BIANCO LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2371
Mailing Address - Country:US
Mailing Address - Phone:620-388-9102
Mailing Address - Fax:
Practice Address - Street 1:2703 PORTO BIANCO LN
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2371
Practice Address - Country:US
Practice Address - Phone:620-388-9102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty