Provider Demographics
NPI:1255211132
Name:AUSTIN BEHAVIOR ANALYSIS PLLC
Entity type:Organization
Organization Name:AUSTIN BEHAVIOR ANALYSIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRUDHOMME
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:512-666-0721
Mailing Address - Street 1:1616 W 6TH ST APT 140
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5010
Mailing Address - Country:US
Mailing Address - Phone:512-666-0721
Mailing Address - Fax:737-236-0980
Practice Address - Street 1:1616 W 6TH ST APT 140
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5010
Practice Address - Country:US
Practice Address - Phone:512-666-0721
Practice Address - Fax:737-236-0980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty