Organization
29 ACRES. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L CAUDY MD (FOUNDER/PRESIDENT)
(214) 550-8831
Entity
Organization
Contact information
Practice address
3000 MOSELEY RD, CROSSROADS, TX 76227-8096
(214) 550-8831
(972) 591-4528
Mailing address
3000 MOSELEY RD, CROSSROADS, TX 76227-8096
(817) 832-9346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1648
BCBA LICENSURE
TX
Enumeration date
09/11/2018
Last updated
06/13/2024
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