Basic Information
| Provider Information | |||||||||
| NPI: | 1952969214 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AROCHO PEREZ | ||||||||
| FirstName: | KEISHLA | ||||||||
| MiddleName: | C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2600 HOWELLWOOD WAY | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787485958 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5126530741 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9390 RESEARCH BLVD | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787596585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123309520 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2019 | ||||||||
| LastUpdateDate: | 06/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 103K00000X | TX | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.