Provider Demographics
NPI:1366102436
Name:JOURNEY ABA TEXAS LLC
Entity type:Organization
Organization Name:JOURNEY ABA TEXAS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-798-1253
Mailing Address - Street 1:6500 RIVER PLACE BLVD BUILDING 7
Mailing Address - Street 2:STE 250
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730
Mailing Address - Country:US
Mailing Address - Phone:617-910-1414
Mailing Address - Fax:617-910-1415
Practice Address - Street 1:6500 RIVER PLACE BLVD
Practice Address - Street 2:BUILDING 7, STE 250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1119
Practice Address - Country:US
Practice Address - Phone:617-910-1414
Practice Address - Fax:617-910-1415
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAPPY ABA THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-30
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine