| Sakura Behavioral Services Inc | |
|
111 Lake Charlotte Creek Dr Bastrop TX 78602-2286 | |
| (786) 757-9224 | |
| Not Available |
| Full Name | Sakura Behavioral Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 111 Lake Charlotte Creek Dr, Bastrop, Texas |
| Authorized Official Name and Position | Daimi Quesada (BCBA) |
| Authorized Official Contact | 7867579224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sakura Behavioral Services Inc 111 Lake Charlotte Creek Dr Bastrop TX 78602-2286 Ph: (786) 757-9224 | Sakura Behavioral Services Inc 111 Lake Charlotte Creek Dr Bastrop TX 78602-2286 Ph: (786) 757-9224 |
| NPI Number | 1861290777 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861290777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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