Provider Demographics
NPI:1528694965
Name:ALPHABEE BEHAVIORAL ANALYSIS
Entity type:Organization
Organization Name:ALPHABEE BEHAVIORAL ANALYSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:956-744-8873
Mailing Address - Street 1:6540 GRANDE BAY
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1964
Mailing Address - Country:US
Mailing Address - Phone:956-744-8873
Mailing Address - Fax:
Practice Address - Street 1:6540 GRANDE BAY
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-1964
Practice Address - Country:US
Practice Address - Phone:956-744-8873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1013169010Medicaid