Pediatric Action Therapy, Llc is a
Behavior Analyst based in Boerne, Texas. Pediatric Action Therapy, Llc is licensed to practice in * (Not Available) (license number 1096577) and their current practice location is
12 Der Flugplatz, Boerne, Texas. It can be reached at their office (for appointments etc.) via phone at
(954) 540-1360.
NPI number for Pediatric Action Therapy, Llc is 1477875656 and their current mailing address is 12 Der Flugplatz, Boerne, Texas. Pediatric Action Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477875656.
Healthcare Provider's Profile
| Full Name | Pediatric Action Therapy, Llc |
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| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 12 Der Flugplatz, Boerne, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477875656
- Provider Enumeration Date: 02/16/2010
- Last Update Date: 01/18/2017
Medical Identifiers
Medical identifiers for Pediatric Action Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477875656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 111734 (Texas) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 1096577 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pediatric Action Therapy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pediatric Action Therapy, Llc
12 Der Flugplatz,
Boerne, TX 78006-8661
Ph: (954) 540-1360 | Pediatric Action Therapy, Llc
12 Der Flugplatz,
Boerne, TX 78006-8661
Ph: (954) 540-1360 |
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