Provider Demographics
NPI:1598588659
Name:BEHAVIORAL EDUCATION AND AWARENESS PROGRAMS LLC
Entity type:Organization
Organization Name:BEHAVIORAL EDUCATION AND AWARENESS PROGRAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DESIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:FUENTES MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, BCBA
Authorized Official - Phone:469-708-6672
Mailing Address - Street 1:5900 BALCONES DR STE 17177
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:469-708-6672
Mailing Address - Fax:469-209-1395
Practice Address - Street 1:121 LITTLE JOHN DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5911
Practice Address - Country:US
Practice Address - Phone:469-708-6672
Practice Address - Fax:469-209-1395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty