Organization
CHILDREN'S AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS A SAMPLE BCBA (OWNER/DIRECTOR)
(512) 733-2800
Entity
Organization
Contact information
Practice address
1707 N MAYS ST, ROUND ROCK, TX 78664-2914
(512) 733-2800
Mailing address
1707 N MAYS ST, ROUND ROCK, TX 78664-2914
(512) 733-2800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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