Active NPI
Jennifer West Dantzler, BCBA
- Behavior Analyst
- Humble, TX
National Provider Identifier
1013144153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1020763
- Practice address
- 5364 FM 1960 Rd E
Humble, TX 77346-2502 - Phone
- (281) 852-0501
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1020763 | TX | Primary |
Addresses
Primary practice location
5364 FM 1960 Rd E
Humble, TX 77346-2502
Mailing address
14411 Brighton Trace LN
Houston, TX 77044-4436
Phone (281) 852-0501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020763 | Other | BCBA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1020763 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Including Kids, Inc | Past | Accepting new patients | |
| Including Kids, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Humble, TX
- NPI 1235468521
-
- Community/Behavioral Health Agency
- Humble, TX
- NPI 1336384510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1013144153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14411 BRIGHTON TRACE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770444436",
"telephone_number": "281-852-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5364 FM 1960 RD E",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773462502",
"telephone_number": "281-852-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTZLER",
"first_name": "JENNIFER",
"middle_name": "WEST",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1020763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1020763",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.