| Eagles Aerie Aba Services Llc | |
|
2140 E Southlake Blvd Ste L678 Southlake TX 76092-6516 | |
| (310) 528-8303 | |
| Not Available |
| Full Name | Eagles Aerie Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2140 E Southlake Blvd Ste L678, Southlake, Texas |
| Authorized Official Name and Position | Tania Eufemia (SOLE MEMBER) |
| Authorized Official Contact | 3105288303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagles Aerie Aba Services Llc 2140 E Southlake Blvd Ste L678 Southlake TX 76092-6516 Ph: (310) 528-8303 | Eagles Aerie Aba Services Llc 2140 E Southlake Blvd Ste L678 Southlake TX 76092-6516 Ph: (310) 528-8303 |
| NPI Number | 1427900042 |
|---|---|
| Provider Enumeration Date | 02/14/2026 |
| Last Update Date | 02/14/2026 |
| Certification Date | 02/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427900042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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