DKD for Autism LLC
Organization Active NPI Behavior Analyst · Fate, TX
NPI 1104411297 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1104411297
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- DKD FOR AUTISM LLC
- Practice address
- 601 N William E Crawford Ave
Fate, TX 75087 - Phone
- (469) 338-5442
- Fax
- (214) 602-2729
- NPI assigned
- Mar 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Karri Shojaei-Scott
- Title
- Clinical Director /Owner
- Phone
- (972) 722-3892
Practitioners 3
-
Karri Shojaei-Scott, BCBA
National Provider Directory
Locations
601 N Crawford Dr
Fate, TX 75087
Phone (469) 338-5442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
601 N William E Crawford Ave
Fate, TX 75087
Mailing address
410 Hickory LN
Fate, TX 75087-6709
Phone (972) 722-3892
Other names
- Marigold ABA Therapy Center Of Fate
Other providers in Fate, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.