Brent Woodall Foundation For Exceptional Children
Community/Behavioral Health in Irving, TX. Organization (NPI-2).
NPI number1386879526
StatusActive
Last updated in NPPESApr 3, 2024
Details
- NPI
- 1386879526
- Entity type
- Organization (NPI-2)
- Legal business name
- Brent Woodall Foundation For Exceptional Children
- Organization subpart
- No
- Enumeration date
- May 18, 2009
- Certification date
- Apr 3, 2024
- Last updated
- Apr 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Brent Woodall Foundation (Doing Business As)
Practice location
7801 Mesquite Bend Dr Ste 105Irving, TX 75063-6043
Phone 972-756-9170 · Fax 214-614-4650
Mailing address
7801 Mesquite Bend Dr Ste 105Irving, TX 75063-6043
Phone 972-756-9170 · Fax 214-614-4650
Authorized official
Carley Michele Waltenburg
Director
9727569170
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