NPIMap

Organization Active NPI

DKD for Autism LLC

Doing business as Marigold ABA Therapy Center Of Fate

  • Behavior Analyst
  • Fate, TX
National Provider Identifier
1104411297
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DKD FOR AUTISM LLC
Doing business as
Marigold ABA Therapy Center Of Fate
Practice address
601 N William E Crawford Ave
Fate, TX 75087
Phone
(469) 338-5442
Fax
(214) 602-2729
NPI assigned
Mar 2, 2021
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Karri Shojaei-ScottNPI 1801332267
Title
Clinical Director /Owner
Phone
(972) 722-3892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

601 N William E Crawford Ave
Fate, TX 75087

Mailing address

410 Hickory LN
Fate, TX 75087-6709
Phone (972) 722-3892

Other names 1

  • Marigold ABA Therapy Center Of Fate Doing business as

National Provider Directory

National Provider Directory

Locations

601 N Crawford Dr
Fate, TX 75087
Phone (469) 338-5442

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1104411297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HICKORY LN",
            "city": "FATE",
            "state": "TX",
            "postal_code": "750876709",
            "telephone_number": "972-722-3892",
            "fax_number": "214-602-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N WILLIAM E CRAWFORD AVE",
            "city": "FATE",
            "state": "TX",
            "postal_code": "75087",
            "telephone_number": "469-338-5442",
            "fax_number": "214-602-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKD FOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "SHOJAEI-SCOTT",
        "authorized_official_first_name": "KARRI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR /OWNER",
        "authorized_official_telephone_number": "972-722-3892"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marigold ABA Therapy Center Of Fate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fate, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.