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WIESNER ABA LLC NPI 1154797694


NPI Information

NPI: 1154797694
Provider Name: WIESNER ABA LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2990 BLACKBURN ST
APT 3164
DALLAS, TX
ZIP 75204
Phone: (936) 554-1616
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WIESNER ABA LLC is a community behavioral health in Dallas, TX. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WIESNER ABA LLC NPI is 1154797694. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2990 BLACKBURN ST
APT 3164
DALLAS, TX
ZIP 75204-113
Phone: (936) 554-1616

The provider's authorized official is Taylor Wiesner .
The authorized official title is Owner, Founder and has the following contact phone number (936) 554-1616.

The enumeration date for this NPI number is 8/19/2015 and was last updated on 8/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2252Y00000XEarly Intervention Provider AgencyTEXASNo
3251S00000XCommunity/Behavioral HealthTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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