Organization
CHILDREN'S BEHAVIORAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA COSTA BCBA (BEHAVIOR ANALYST)
(915) 799-8722
Entity
Organization
Contact information
Practice address
710 S 8TH ST STE B, BEAUMONT, TX 77701-4634
(409) 299-9460
Mailing address
6305 HIGHPOINT AVE, BEAUMONT, TX 77708-3651
(915) 799-8722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
02/01/2021
Last updated
07/25/2022
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