| Ivory Behavior Group Llc | |
|
4420 Wheatbud Way Joshua TX 76058-4599 | |
| (413) 204-9941 | |
| Not Available |
| Full Name | Ivory Behavior Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4420 Wheatbud Way, Joshua, Texas |
| Authorized Official Name and Position | Allyssa Minick (BCBA) |
| Authorized Official Contact | 4132049941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Behavior Group Llc 4420 Wheatbud Way Joshua TX 76058-4599 Ph: () - | Ivory Behavior Group Llc 4420 Wheatbud Way Joshua TX 76058-4599 Ph: (413) 204-9941 |
| NPI Number | 1962291211 |
|---|---|
| Provider Enumeration Date | 05/03/2025 |
| Last Update Date | 05/03/2025 |
| Certification Date | 05/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962291211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Community Autism Intervention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Mockingbird Hill Dr, Joshua, TX 76058 Phone: 520-456-7071 | |
Legal Business Name Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Independence Dr, Joshua, TX 76058 Phone: 903-237-9689 |