# LL PEDIATRIC THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bright Behavior Centers, Little Land Pediatric Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720600513
- **Authorized official:** MR. ERNIE BELTZ (ADMINISTRATOR)
- **Authorized official phone:** (512) 827-3670

## Contact information

- **Practice address:** 2423 S BELL BLVD, CEDAR PARK, TX 78613-4753
- **Practice address phone:** (512) 827-3601
- **Practice address fax:** (512) 777-5042
- **Mailing address:** PO BOX 171078, AUSTIN, TX 78717-0040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 05/14/2020
- **Last updated:** 09/09/2023