Active NPI
Audrey Taylor Boatman, M.S., BCBA
- Behavior Analyst
- Frisco, TX
National Provider Identifier
1144725698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-29822
- Practice address
- 8720 Main St
Frisco, TX 75033-3079 - Phone
- (469) 803-5655
- Fax
- (214) 291-5692
- NPI assigned
- Mar 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-29822 | Primary |
Addresses
Primary practice location
8720 Main St
Frisco, TX 75033-3079
Mailing address
8720 Main St
Frisco, TX 75033-3079
Phone (469) 803-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-29822 | Other | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Help Begins at Home, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Plano, TX
- NPI 1972919066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1144725698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8720 MAIN ST",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333079",
"telephone_number": "469-803-5655",
"fax_number": "214-291-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8720 MAIN ST",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333079",
"telephone_number": "469-803-5655",
"fax_number": "214-291-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATMAN",
"first_name": "AUDREY",
"middle_name": "TAYLOR",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-29822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
"identifier": "1-18-29822",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.