Divergent Abilities

LBN: Autism Behavioral Associates Llc
Divergent Abilities is an health care organization with primary practice located at 102 E Old Bowman Rd Ste A , Round Rock TX 78664-2296. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Autism Behavioral Associates Llc can be contacted via phone (512) 931-1238, or through Martinez, Stephanie Michelle via phone (512) 550-7472.

Contact Information

Primary practice address
102 E Old Bowman Rd Ste A Round Rock TX 78664-2296
Phone: (512) 931-1238
Fax: (512) 287-5565
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Stephanie Michelle BCBA, LBA
Phone: (512) 550-7472

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1912663998
LBN Legal business name Autism Behavioral Associates Llc
DBA Doing business as Divergent Abilities
Authorized official Martinez, Stephanie Michelle BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2021
Last updated Jul 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912663998 NPPES
Texas MEDICAID 4314395

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