Provider Demographics
NPI:1679304919
Name:SPEDLY LLC
Entity type:Organization
Organization Name:SPEDLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ERHARD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:512-279-2959
Mailing Address - Street 1:11218 PRAIRIE DOVE CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4251
Mailing Address - Country:US
Mailing Address - Phone:210-844-5831
Mailing Address - Fax:
Practice Address - Street 1:11218 PRAIRIE DOVE CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4251
Practice Address - Country:US
Practice Address - Phone:210-844-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty