Active NPI
Whitney Sherman, BCBA
- Behavior Analyst
- Tyler, TX
National Provider Identifier
1104179241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-12544
- Practice address
- 2323 W Front St
Tyler, TX 75702-7747 - Phone
- (903) 597-1351
- Fax
- (903) 535-7384
- NPI assigned
- Oct 25, 2012
- 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 | 1-12-12544 | TX | Primary |
Addresses
Primary practice location
2323 W Front St
Tyler, TX 75702-7747
Mailing address
2323 W Front St
Tyler, TX 75702-7704
Phone (903) 597-1351
Other names 1
- Whitney Clements
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.andrewscenter.com | Other |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Junior Boom ABA LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1861194490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1104179241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 W FRONT ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757027704",
"telephone_number": "903-597-1351",
"fax_number": "903-535-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 W FRONT ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757027747",
"telephone_number": "903-597-1351",
"fax_number": "903-535-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "WHITNEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-12-12544",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.andrewscenter.com",
"affiliation": "N",
"endpointDescription": "Learn about services provided",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Find out how to schedule an appointment",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Andrews Center Website",
"address_1": "2323 W Front St",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757027747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "CLEMENTS",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.