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Organization

ON PURPOSE HEALTH & HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMIKA R SCOTT MS, ABA, QMHP, QIDP (MANAGING DIRECTOR)
(702) 954-2893
Entity
Organization

Contact information

Practice address
2829 COYOTE RIDGE DR, FORT WORTH, TX 76244-5522
(702) 954-2893
Mailing address
2829 COYOTE RIDGE DR, FORT WORTH, TX 76244-5522
(702) 954-2893

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
Primary
251T00000X
PACE Provider Organization
251V00000X
Voluntary or Charitable Agency
253J00000X
Foster Care Agency
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689914335
NV
Enumeration date
07/19/2021
Last updated
07/19/2021
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