| Blue Jays Aba Therapy Center Of Texas Pllc | |
|
9135 Kostelnik St Needville TX 77461-7920 | |
| (617) 820-7430 | |
| Not Available |
| Full Name | Blue Jays Aba Therapy Center Of Texas Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9135 Kostelnik St, Needville, Texas |
| Authorized Official Name and Position | Fabio Kelling Bertuol (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6178207430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Jays Aba Therapy Center Of Texas Pllc 9135 Kostelnik St Needville TX 77461-7920 Ph: (617) 820-7430 | Blue Jays Aba Therapy Center Of Texas Pllc 9135 Kostelnik St Needville TX 77461-7920 Ph: (617) 820-7430 |
| NPI Number | 1578368148 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578368148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Chalom Ranch Equine Assisted Therapy & Learning Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9435 Oberrender Rd, Needville, TX 77461 Phone: 281-407-0026 Fax: 281-402-1853 |