Individual provider Active NPI

Debra Marie Woolard, LBA, BCBA

  • Behavior Analyst
  • Killeen, TX
National Provider Identifier
1114585742
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1002 Wales Dr Ste 6
Killeen, TX 76549-1137
Phone
(254) 408-0822
NPI assigned
May 29, 2019
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CA Primary

Addresses

Primary practice location

1002 Wales Dr Ste 6
Killeen, TX 76549-1137

Mailing address

PO Box 2631
Georgetown, TX 78627-2631
Phone (254) 408-0822

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

OrganizationSpecialtyStatusNew patients
Love Out Loud, LLC Behavior Analyst CurrentSince Feb 25, 2024 Accepting new patients

Locations

1002 Wales Dr
Ste 6
Killeen, TX 76549
Phone (254) 408-0822

3000 Illinois Ave
Killeen, TX 76543
Phone (254) 402-4800

840 Prospector Trl
Killeen, TX 76548
Phone (254) 408-2100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1114585742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2631",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272631",
            "telephone_number": "254-408-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WALES DR STE 6",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765491137",
            "telephone_number": "254-408-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLARD",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "credential": "LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.