Organization Active NPI

Assessment Behavior Analysis and Counseling Services

  • Behavior Analyst
  • Wichita Falls, TX
National Provider Identifier
1043626369
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ASSESSMENT BEHAVIOR ANALYSIS AND COUNSELING SERVICES
Practice address
2401 Kemp Blvd
Wichita Falls, TX 76309-5348
Phone
(940) 631-0239
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Valerie A Mandela, LPC BCBA
Title
Owner/Sole Member
Phone
(940) 631-0239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2401 Kemp Blvd
Wichita Falls, TX 76309-5348

Mailing address

2738 Shepherds GLN
Wichita Falls, TX 76308-5264
Phone (940) 631-0239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1043626369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 SHEPHERDS GLN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763085264",
            "telephone_number": "940-631-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763095348",
            "telephone_number": "940-631-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSESSMENT BEHAVIOR ANALYSIS AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "MANDELA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "940-631-0239",
        "authorized_official_credential": "LPC BCBA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.