Organization
BIVENS EDUCATIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHENA BIVENS (DIAGNOSTICIAN)
(214) 682-9164
Entity
Organization
Contact information
Practice address
1203 CHANDLER CIR, PROSPER, TX 75078-8718
(214) 681-9164
Mailing address
1203 CHANDLER CIR, PROSPER, TX 75078-8718
(214) 681-9164
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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