Organization
ACHIEVEMENT, BALANCE, COMMUNITY, PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA KATHLEEN ERVIN MS, PT (DIRECTOR OF THERAPY)
(214) 616-2932
Entity
Organization
Contact information
Practice address
830 PARKER SQ, FLOWER MOUND, TX 75028-7429
(214) 616-2932
Mailing address
830 PARKER SQ, FLOWER MOUND, TX 75028-7429
(214) 616-2932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-06-2769
FL
103TB0200X
Cognitive & Behavioral Psychologist
56129
TX
1041C0700X
Clinical Social Worker
Primary
56129
TX
2251P0200X
Pediatric Physical Therapist
—
TX
225XP0200X
Pediatric Occupational Therapist
—
TX
235Z00000X
Speech-Language Pathologist
19493
TX
Other
Enumeration date
04/17/2015
Last updated
09/15/2015
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