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Organization
LL PEDIATRIC THERAPY LLC
Active
Organization
LL PEDIATRIC THERAPY LLC
Active
Other names
Bright Behavior Centers, Little Land Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNIE BELTZ (ADMINISTRATOR)
(512) 827-3670
Entity
Organization
Contact information
Practice address
2423 S BELL BLVD, CEDAR PARK, TX 78613-4753
(512) 827-3601
(512) 777-5042
Mailing address
PO BOX 171078, AUSTIN, TX 78717-0040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/14/2020
Last updated
09/09/2023
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