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Organization
PATCHWORK UMBRELLA THERAPIES
Active
Organization
PATCHWORK UMBRELLA THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY MARIE PABON-CRUZ PYS-D;BCBA;LBA (BCBA/OWNER)
(787) 405-3310
Entity
Organization
Contact information
Practice address
2342 BROOKHOLLOW TER, GEORGETOWN, TX 78626-7346
(469) 288-0667
Mailing address
1201 S MAYS ST STE 100, ROUND ROCK, TX 78664-6709
(512) 305-3920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
04/17/2020
Last updated
12/07/2020
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