Individual provider Active NPI

Rebecca Lynn King

  • Behavior Technician
  • Killeen, TX
National Provider Identifier
1003458308
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
00011928 Issued in TX
Practice address
4003 W Stan Schlueter Loop Ste 3
Killeen, TX 76549-6120
Phone
(254) 360-1578
Fax
(254) 267-1091
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 00011928 TX Primary

Addresses

Primary practice location

4003 W Stan Schlueter Loop Ste 3
Killeen, TX 76549-6120

Mailing address

5212 Allegany Dr
Killeen, TX 76549-5648
Phone (719) 352-2970

Other names 1

  • Rebecca Lynn Segrest Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00011928TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Behavior Support, LLC Behavior Technician CurrentSince Oct 4, 2020 Accepting new patients
Killeen Autism Center PastSince Sep 5, 2023 Accepting new patients

Locations

4003 W Stan Schlueter Loop
Ste 3
Killeen, TX 76549
Phone (254) 630-1578

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1003458308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 ALLEGANY DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495648",
            "telephone_number": "719-352-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 3",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496120",
            "telephone_number": "254-360-1578",
            "fax_number": "254-267-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "00011928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SEGREST",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.