Provider Demographics
NPI:1407657786
Name:BLUE UMBRELLA AUTISM ACADEMY
Entity type:Organization
Organization Name:BLUE UMBRELLA AUTISM ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:VIVIANA
Authorized Official - Last Name:CURBELO CAVANESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-680-5096
Mailing Address - Street 1:305 CRESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-7162
Mailing Address - Country:US
Mailing Address - Phone:530-680-5096
Mailing Address - Fax:
Practice Address - Street 1:305 CRESTBROOK DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-7162
Practice Address - Country:US
Practice Address - Phone:530-680-5096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty