Organization Active NPI

Odxo LLC

  • Behavior Analyst
  • Dallas, TX
National Provider Identifier
1114855749
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ODXO LLC
Practice address
1409 Botham Jean Blvd
Dallas, TX 75215-1871
Phone
(646) 552-1194
NPI assigned
May 13, 2026
Last updated
Jul 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Juran ThomasNPI 1386192599
Title
Owner
Phone
(469) 701-0271

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1409 Botham Jean Blvd
Dallas, TX 75215-1871

Mailing address

3300 Gus Thomasson Rd Ste 203
Mesquite, TX 75150-4059
Phone (469) 701-0271

National Provider Directory

National Provider Directory

Locations

3300 Gus Thomasson Rd
Ste 203
Mesquite, TX 75150

Practitioners & affiliated clinicians

Practitioners 1

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": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1114855749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GUS THOMASSON RD STE 203",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504059",
            "telephone_number": "469-701-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 BOTHAM JEAN BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752151871",
            "telephone_number": "646-552-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODXO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JURAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-701-0271"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.