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Organization
TREE OF LIFE ABA THERAPY PLLC
Active
Organization
TREE OF LIFE ABA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA JOE SANCHEZ M.ED., BCBA, LBA-TX (CHIEF EXECUTIVE OFFICER)
(512) 234-2245
Entity
Organization
Contact information
Practice address
1300 EAST RIVERSIDE DRIVE, AUSTIN, TX 78741
(512) 234-2245
Mailing address
1920 E RIVERSIDE DR STE A-120 #369, AUSTIN, TX 78741-1350
(512) 234-2245
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/17/2021
Last updated
09/23/2021
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