Active NPI
Joshua Hanes, BCBA
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1164029633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB611594
- Practice address
- 2417 Presidio Vista Dr
Fort Worth, TX 76177-8275 - Phone
- (682) 316-9008
- NPI assigned
- Oct 7, 2020
- 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 Analyst | 103K00000X | BACB611594 | TX | Primary |
Addresses
Primary practice location
2417 Presidio Vista Dr
Fort Worth, TX 76177-8275
Mailing address
6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236
Phone (817) 952-8917
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB611594 | Other | TX | BCBA |
| RBT-20-138412 | Other | TX | RBT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adeloera@bi-aba.com | Direct |
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 |
|---|---|---|---|
| BACB611594 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1164029633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 COLLEYVILLE BLVD STE 100",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346236",
"telephone_number": "817-952-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 PRESIDIO VISTA DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761778275",
"telephone_number": "682-316-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANES",
"first_name": "JOSHUA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-07",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "TX",
"license": "BACB611594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "BACB611594",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-20-138412",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adeloera@bi-aba.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "6201 Colleyville Blvd Ste 100",
"city": "Colleyville",
"state": "TX",
"country_code": "US",
"postal_code": "760346236",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 21, 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.