Provider Demographics
NPI:1992121594
Name:AUSTIN BEHAVIOR ASSOCIATES
Entity type:Organization
Organization Name:AUSTIN BEHAVIOR ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-206-0243
Mailing Address - Street 1:5524 BEE CAVES RD
Mailing Address - Street 2:BUILDING L
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-270-8389
Mailing Address - Fax:
Practice Address - Street 1:5524 BEE CAVES RD
Practice Address - Street 2:BUILDING L
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5245
Practice Address - Country:US
Practice Address - Phone:512-270-8389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty