Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boom Pediatric Therapy

Organization Speech-Language Pathologist · NPI 1356042683

Boom Pediatric Therapy is a Speech-Language Pathologist in Prosper, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1428 Carnation St
Prosper, TX 75078-9779
Phone: (469) 268-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1356042683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Rivera-Perez — Owner · (469) 268-9010
NPI enumeratedMarch 14, 2023
Last updated in NPPESNovember 25, 2023
Certification dateNovember 25, 2023
Mailing address5900 Balcones Dr Ste 100, Austin, TX 78731-4298

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