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Active NPI 1467112532 Organization (Entity Type 2)

Collaborative Behavioral Services, Llc

Behavior Analyst • Grapevine, TX

About Collaborative Behavioral Services, Llc NPI 1467112532 Summary

Collaborative Behavioral Services, Llc is a verified healthcare organization specializing in Behavior Analyst operating in Grapevine, TX. Located at 2150 W NORTHWEST HWY # 114-1045, this facility provides patient care and medical services under National Provider Identifier (NPI) 1467112532.

Administrative operations and authorized compliance are overseen by Leah Fennema (Executive Director).

Facility Location & Contact Primary Location

Facility Address

2150 W Northwest Hwy # 114-1045

Grapevine, TX 760516989

Telephone 8179379804

Authorized Official Information

Authorized Contact Name

MRS. Leah Fennema , BCBA

Title / Role

Executive Director

Official Telephone

8179379804

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active December 30, 2021

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2021

Registered at 2150 W NORTHWEST HWY # 114-1045, GRAPEVINE, TX 760516989 (Tel: 8179379804)

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Updated Business Mailing Address December 30, 2021

Registered at 2150 W NORTHWEST HWY # 114-1045, GRAPEVINE, TX 760516989

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Organization / Clinic Name Updated December 30, 2021

Operating as COLLABORATIVE BEHAVIORAL SERVICES, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2021

Behavior Analyst

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Initial NPI Registration & Enumeration December 30, 2021

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1467112532

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: December 30, 2021

Last Update: December 30, 2021

Update or Correct Listing

Mailing Address

2150 W Northwest Hwy # 114-1045

Grapevine, TX 760516989

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.