Ivory Behavior Group LLC

Behavior Analyst · Joshua, TX

Organization Active NPI

NPI number 1962291211

Practice location

4420 Wheatbud Way
Joshua, TX 76058-4599
Phone
(413) 204-9941

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NPI record

NPI
1962291211
Entity type
Organization (Type 2)
Enumeration date
May 3, 2025
Last updated
May 3, 2025
Certified
May 3, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Behavior Technician 106S00000X — —

Authorized official

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

About Ivory Behavior Group LLC

Ivory Behavior Group LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4420 Wheatbud Way, Joshua, TX 76058-4599. The NPI number 1962291211 was assigned on May 3, 2025 and the record was last updated on May 3, 2025.

The authorized official for this organization is Allyssa Minick, BCBA, Bcba.

Frequently asked questions

What is the NPI number of Ivory Behavior Group LLC?

The NPI number is 1962291211.

What is the phone number of Ivory Behavior Group LLC?

The phone number listed for the practice location is (413) 204-9941.

Where is Ivory Behavior Group LLC located?

4420 Wheatbud Way, Joshua, TX 76058-4599.

What is the taxonomy code for Ivory Behavior Group LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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