| Pivotal Behavioral Services Llc | |
|
5511 Parkcrest Dr Ste 103 Austin TX 78731-4917 | |
| (443) 720-8331 | |
| Not Available |
| Full Name | Pivotal Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5511 Parkcrest Dr Ste 103, Austin, Texas |
| Authorized Official Name and Position | Bidemi Balogun (CEO) |
| Authorized Official Contact | 2024926575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Behavioral Services Llc 13704 Thomas Wheeler Way Manor TX 78653-2685 Ph: (202) 492-6575 | Pivotal Behavioral Services Llc 5511 Parkcrest Dr Ste 103 Austin TX 78731-4917 Ph: (443) 720-8331 |
| NPI Number | 1467254037 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467254037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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