Organization
DIVINITY ABA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH A WORMAN (OWNER, CEO)
(817) 455-5920
Entity
Organization
Contact information
Practice address
1508 EMERALD KNOLL DRIVE, KELLER, TX 76248-1506
(817) 455-5920
Mailing address
1508 EMERALD KNOLL DRIVE, KELLER, TX 76248-1506
(817) 455-5920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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