OrganizationActive
Evolution Autism
NPI 1710698378 · Early Intervention Provider Agency · Grand Prairie, TX
Provider details
- NPI number
- 1710698378
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gabrielle Roseman, Director(214) 984-4189
Specialties & taxonomies
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Practice location
1801 S Great Southwest Pkwy
Grand Prairie, TX 75051-3542
Phone: (214) 984-4189
Approximate (ZIP-level) locationGet directions
Mailing address
822 Weaver St
Cedar Hill, TX 75104-9235
Registry dates
- Enumerated
- 2022-12-05
- Last updated
- 2022-12-05
- Certified
- 2022-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.