Organization
BLUE JAYS ABA THERAPY CENTER OF TEXAS PLLC
Active
Other names
BLUE JAYS ABA, RELIANT ABA
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO KELLING BERTUOL BCBA (OWNER/CLINICAL DIRECTOR)
(617) 820-7430
Entity
Organization
Contact information
Practice address
9135 KOSTELNIK ST, NEEDVILLE, TX 77461-7920
(617) 820-7430
Mailing address
9135 KOSTELNIK ST, NEEDVILLE, TX 77461-7920
(617) 820-7430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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