NPIMap

Organization Active NPI

Pine Cone Therapies LLC

  • Behavior Analyst
  • Southlake, TX
National Provider Identifier
1013143767
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-7860 Issued in TX
Legal business name
PINE CONE THERAPIES LLC
Practice address
2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone
(817) 442-9022
NPI assigned
Jun 9, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Bobbye R Records, BCBANPI 1710102298
Title
Owner
Phone
(817) 442-9022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-10-7860 TX Primary

Addresses

Primary practice location

2104 Greenbriar Dr
Southlake, TX 76092-8355

Mailing address

2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone (817) 442-9022

Other practice location 1

3552 FM 1092 Rd
Missouri City, TX 77459
Phone (346) 368-4412

National Provider Directory

National Provider Directory

Locations

773 Bandit Trl
Keller, TX 76248
Phone (817) 442-9022

3552 FM 1092 Rd
Missouri City, TX 77459
Phone (346) 368-4412

4722 Riverstone Blvd
Missouri City, TX 77459
Phone (346) 275-2001

2104 Greenbriar Dr
Southlake, TX 76092
Phone (817) 422-9022

2104 Greenbriar Dr
Ste A
Southlake, TX 76092
Phone (817) 442-9022

Practitioners & affiliated clinicians

Practitioners 217

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 217

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1013143767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 GREENBRIAR DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928355",
            "telephone_number": "817-442-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 GREENBRIAR DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928355",
            "telephone_number": "817-442-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3552 FM 1092 Rd",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "77459",
            "country_code": "US",
            "telephone_number": "346-368-4412",
            "fax_number": "866-300-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINE CONE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RECORDS",
        "authorized_official_first_name": "BOBBYE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-442-9022",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-10-7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.