Organization
BAUCOM BEHAVIORAL & EDUCATIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON LORRAINE BAUCOM M.ED., BCBA (FOUNDER)
(512) 537-3014
Entity
Organization
Contact information
Practice address
700 LAVACA ST, STE 1401, AUSTIN, TX 78701-3101
(512) 537-3014
Mailing address
PO BOX 26642, AUSTIN, TX 78755-0642
(512) 537-3014
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-12198
TX
Other
Enumeration date
09/30/2013
Last updated
02/11/2014
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