Ivory Behavior Group LLC

Organization Active NPI Behavior Analyst · Joshua, TX

NPI 1962291211 · NPPES record last updated May 3, 2025

Key facts

NPI
1962291211
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
IVORY BEHAVIOR GROUP LLC
Practice address
4420 Wheatbud Way
Joshua, TX 76058-4599
Phone
(413) 204-9941
NPI assigned
May 3, 2025
Organization subpart
No

Authorized official

Name
Allyssa Minick, BCBA
Title
Bcba
Phone
(413) 204-9941

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193200000X MULTI-SPECIALTY GROUP
103K00000X Yes
Behavior Technician
Group: 193200000X MULTI-SPECIALTY GROUP
106S00000X

Addresses

Primary practice location

4420 Wheatbud Way
Joshua, TX 76058-4599

Mailing address

4420 Wheatbud Way
Joshua, TX 76058-4599

Other providers in Joshua, TX

All providers in Joshua, TX · Behavior Analyst in Texas

Sources for this page

Verify at the official NPI Registry.