Active NPI
Christopher Jack Atchley, MS
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1144786096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 12650 N Beach St Ste 146
Fort Worth, TX 76244-4253 - Phone
- (855) 782-7822
- NPI assigned
- Feb 15, 2019
- Last updated
- Mar 1, 2021
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
12650 N Beach St Ste 146
Fort Worth, TX 76244-4253
Mailing address
16800 Dallas Pkwy Ste 200
Dallas, TX 75248-1961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-18-59611 | Other | BACB |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1144786096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16800 DALLAS PKWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12650 N BEACH ST STE 146",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444253",
"telephone_number": "855-782-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATCHLEY",
"first_name": "CHRISTOPHER",
"middle_name": "JACK",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-15",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-18-59611",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.