Organization
LL PEDIATRIC THERAPY LLC
Active
Parent organization
LL PEDIATRIC THERAPY LLC
Other names
Bright Behavior Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
LL PEDIATRIC THERAPY LLC
Authorized official
ERNIE BELTZ (CEO)
(512) 827-3670
Entity
Organization
Contact information
Practice address
1524 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 493-4473
(512) 777-5042
Mailing address
PO BOX 171078, AUSTIN, TX 78717-0040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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