# KTL BEHAVIORAL THERAPY & CONSULTATION PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568804029
- **Authorized official:** LAURA BERNARD MOON BCBA (MANAGER)
- **Authorized official phone:** (763) 439-0303

## Contact information

- **Practice address:** 1603 SANCHEZ ST, UNIT A, AUSTIN, TX 78702-1640
- **Practice address phone:** (763) 439-0303
- **Mailing address:** 1603 SANCHEZ ST, UNIT A, AUSTIN, TX 78702-1640
- **Mailing address phone:** (763) 439-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2013
- **Last updated:** 06/03/2016