Organization Active NPI

Teresa Balawejder

Doing business as Advanced Behavior and Achievement

  • Behavior Analyst
  • Lubbock, TX
National Provider Identifier
1063788289
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-08-4251 Issued in FL
Legal business name
TERESA BALAWEJDER
Doing business as
Advanced Behavior and Achievement
Practice address
16304 County Road 2040
Lubbock, TX 79423-4618
Phone
(215) 327-4174
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Teresa Balawejder, BCBA
Title
Board Certified Behavior Analyst
Phone
(215) 327-4174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-08-4251 FL Primary

Addresses

Primary practice location

16304 County Road 2040
Lubbock, TX 79423-4618

Mailing address

16304 County Road 2040
Lubbock, TX 79423-4618

Other names 1

  • Advanced Behavior and Achievement Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1063788289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16304 COUNTY ROAD 2040",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16304 COUNTY ROAD 2040",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794234618",
            "telephone_number": "215-327-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA BALAWEJDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "BALAWEJDER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "215-327-4174",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-08-4251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Behavior and Achievement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.