Canopy Therapy Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CANOPY THERAPY SERVICES, LLC

Practice address

909 Linden St Ste 2
Austin, TX 78702-3628

Phone

(281) 827-0837

NPI assigned

Sep 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eydie Walker

Title

Owner

Phone

(281) 827-0837

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1881208353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LINDEN ST STE 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LINDEN ST STE 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023628",
            "telephone_number": "281-827-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "EYDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-827-0837"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessi Cano, RD, IBCLC
• Lance Donavan Cano
• Myra Taylor Cano
• Honor Canon, MD
• Todd Canon, MD
• David Clay Cansler, PH.D.
• Albert Roland Cantara, PH.D
• Devra Anne Canter-Morton, DEVRA
• Amy Canter, RDN
• Rebecca L Canter, LPC, LCDC

• Behavior Analyst in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.