Active NPI
Victoria Lewis Tedder
- Behavior Analyst
- McKinney, TX
National Provider Identifier
1134754757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53232
- Practice address
- 8408 Stacy Rd Ste 300
McKinney, TX 75070-2422 - Phone
- (469) 625-2193
- Fax
- (469) 998-9143
- NPI assigned
- Mar 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-53232 | TX | Primary |
Addresses
Primary practice location
8408 Stacy Rd Ste 300
McKinney, TX 75070-2422
Mailing address
7500 San Felipe St Ste 990
Houston, TX 77063-1708
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1134754757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 SAN FELIPE ST STE 990",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770631708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8408 STACY RD STE 300",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702422",
"telephone_number": "469-625-2193",
"fax_number": "469-998-9143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEDDER",
"first_name": "VICTORIA",
"middle_name": "LEWIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-21-53232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.