Provider Demographics
NPI:1134552797
Name:SOCIAL THINKING NORTH TEXAS
Entity type:Organization
Organization Name:SOCIAL THINKING NORTH TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMING AND SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:817-845-8101
Mailing Address - Street 1:6040 CAMP BOWIE BLVD
Mailing Address - Street 2:SUITE 57
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-5612
Mailing Address - Country:US
Mailing Address - Phone:817-845-8101
Mailing Address - Fax:817-568-8363
Practice Address - Street 1:6040 CAMP BOWIE BLVD
Practice Address - Street 2:SUITE 57
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-5612
Practice Address - Country:US
Practice Address - Phone:817-845-8101
Practice Address - Fax:817-568-8363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-18
Last Update Date:2013-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TX11312795103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty