NPIMap

Organization Active NPI

Edl LLC

Doing business as One of the Kids

  • Behavior Analyst
  • Cedar Park, TX
National Provider Identifier
1184284226
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EDL LLC
Doing business as
One of the Kids
Practice address
2105 E Park St
Cedar Park, TX 78613-4598
Phone
(512) 739-8476
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
An Pham
Title
Managing Director
Phone
(512) 739-8476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2105 E Park St
Cedar Park, TX 78613-4598

Mailing address

14516 Olive Hill Dr
Austin, TX 78717-4589
Phone (512) 739-8476

Other names 1

  • One of the Kids Doing business as

National Provider Directory

National Provider Directory

Locations

2105 E Park St
Cedar Park, TX 78613
Phone (512) 588-1362

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1184284226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14516 OLIVE HILL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174589",
            "telephone_number": "512-739-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E PARK ST",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134598",
            "telephone_number": "512-739-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "AN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "512-739-8476"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One of the Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.