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Organization
PEDIATRIC ACTION THERAPY, LLC
Active
Organization
PEDIATRIC ACTION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA MARCELA BARRERA MOT, OTR, BCBA, C/ND (EXECUTIVE DIRECTOR)
(954) 540-1360
Entity
Organization
Contact information
Practice address
12 DER FLUGPLATZ, BOERNE, TX 78006-8661
(954) 540-1360
(830) 755-6525
Mailing address
12 DER FLUGPLATZ, BOERNE, TX 78006-8661
(954) 540-1360
(830) 755-6525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1096577
—
225XP0200X
Pediatric Occupational Therapist
111734
TX
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/16/2010
Last updated
01/18/2017
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