Heidi Ilene Wren

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

611 S Highway 78 Ste 123
Wylie, TX 75098-4112

Phone

(903) 821-1437

Fax

(866) 874-2850

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Beyond the Behavior Frisco LLC

  dba Beyond The Behavior Frisco

  • Behavior Analyst
  • Frisco, TX
  • NPI 1063927051
  NPD (past)

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1053135210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S HIGHWAY 78 STE 123",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984112",
            "telephone_number": "903-821-1437",
            "fax_number": "866-874-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S HIGHWAY 78 STE 123",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984112",
            "telephone_number": "903-821-1437",
            "fax_number": "866-874-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "HEIDI",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Woodbridge Vision PLLC
• Lauren Nicole Woodson, DPT
• Wright 2 You Transit, L.L.C
• Roderick Wright I
• Wylie Community Counseling - PLLC
• Wylie Counseling Associates, PLLC
• Wylie Dental Group PLLC (Texas Endodontic Center)

• Behavior Technician in Wylie, TX
• Providers in Wylie, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.