# BLUEBIRD PEDIATRIC THERAPY LLC

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

## Provider details

- **NPI number:** 1669380713
- **Authorized official:** BENJAMIN BRYKS (COO)
- **Authorized official phone:** (847) 701-4470

## Contact information

- **Practice address:** 5900 BALCONES DR \# 33198, AUSTIN, TX 78731-4257
- **Practice address phone:** (847) 701-4470
- **Mailing address:** 5900 BALCONES DR \# 33198, AUSTIN, TX 78731-4257
- **Mailing address phone:** (847) 701-4470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2026
- **Last updated:** 08/31/2026