Kinship Behavioral Health and Support

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINSHIP BEHAVIORAL HEALTH AND SUPPORT

Practice address

11228 Pecan Creek Dr
Aubrey, TX 76227-8800

Phone

(214) 494-1716

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Andrea Wesenberg, BCBA, LBANPI 1124534052

Title

Ceo

Phone

(469) 286-8758

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Wesenberg

  • Behavior Analyst
  • Keller, TX
  • NPI 1124534052
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1063247484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11228 PECAN CREEK DR",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762278800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11228 PECAN CREEK DR",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762278800",
            "telephone_number": "214-494-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSHIP BEHAVIORAL HEALTH AND SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "WESENBERG",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-286-8758",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Aubrey, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.