Individual provider Active NPI

Adrienne Oldenburg

  • Behavior Analyst
  • Flower Mound, TX
National Provider Identifier
1134848468
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5218 Issued in TX
Practice address
830 Parker SQ
Flower Mound, TX 75028-7429
Phone
(940) 255-6964
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-60423 TX
Behavior Analyst 103K00000X 5218 TX Primary

Addresses

Primary practice location

830 Parker SQ
Flower Mound, TX 75028-7429

Mailing address

830 Parker SQ
Flower Mound, TX 75028-7429
Phone (940) 255-6964

Other practice location 1

2600 Bobcat Blvd Ste 200
Trophy Club, TX 76262-5132
Phone (940) 255-6964

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

LicenseStateTypeSpecialty
5218TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement, Balance, Community, Pediatrics Behavior Analyst PastSince Aug 28, 2022 Accepting new patients
Achievement Balance Community LLC Behavior Analyst PastSince Aug 28, 2022 Accepting new patients
Achievement Balance LLC Behavior Analyst PastSince Feb 16, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1134848468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PARKER SQ",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287429",
            "telephone_number": "940-255-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARKER SQ",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287429",
            "telephone_number": "940-255-6964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Bobcat Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Trophy Club",
            "state": "TX",
            "postal_code": "762625132",
            "country_code": "US",
            "telephone_number": "940-255-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDENBURG",
        "first_name": "ADRIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-22-60423",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.