| Lonestar Behavior Collaborative, Llc | |
|
9900 Mcneil Dr Apt 6004 Austin TX 78750-8487 | |
| (843) 621-1297 | |
| Not Available |
| Full Name | Lonestar Behavior Collaborative, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9900 Mcneil Dr Apt 6004, Austin, Texas |
| Authorized Official Name and Position | Ethan Brewer (OWNER) |
| Authorized Official Contact | 8436211297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lonestar Behavior Collaborative, Llc 9900 Mcneil Dr Apt 6004 Austin TX 78750-8487 Ph: (843) 621-1297 | Lonestar Behavior Collaborative, Llc 9900 Mcneil Dr Apt 6004 Austin TX 78750-8487 Ph: (843) 621-1297 |
| NPI Number | 1366247231 |
|---|---|
| Provider Enumeration Date | 02/15/2025 |
| Last Update Date | 02/15/2025 |
| Certification Date | 02/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366247231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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