Active NPI
Jalen Norman Bean
- Behavior Technician
- Killeen, TX
National Provider Identifier
1124873823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1087362
- Practice address
- 1801 Trimmier Rd Ste A4
Killeen, TX 76541-8513 - Phone
- (254) 294-4488
- NPI assigned
- Apr 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 Technician | 106S00000X | BACB1087362 | TX | Primary |
Addresses
Primary practice location
1801 Trimmier Rd Ste A4
Killeen, TX 76541-8513
Mailing address
1201 Bacon Ranch Rd Apt 614
Killeen, TX 76542-2732
Phone (313) 574-6352
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1087362 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1124873823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BACON RANCH RD APT 614",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765422732",
"telephone_number": "313-574-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 TRIMMIER RD STE A4",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765418513",
"telephone_number": "254-294-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "JALEN",
"middle_name": "NORMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "BACB1087362",
"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 Apr 17, 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.