Provider Demographics
NPI:1902676067
Name:ADVENTURES IN BEHAVIOR, LLC
Entity Type:Organization
Organization Name:ADVENTURES IN BEHAVIOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEUTENEGGER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:254-236-2469
Mailing Address - Street 1:5900 BALCONES DR # 17090
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 COBY DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:TX
Practice Address - Zip Code:76579-2822
Practice Address - Country:US
Practice Address - Phone:254-236-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty