Active NPI
Kelly Nightingale, BCBA
- Behavior Analyst
- Fulshear, TX
National Provider Identifier
1184356701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 29810 FM 1093 Rd Ste E
Fulshear, TX 77441-3923 - Phone
- (281) 845-4683
- NPI assigned
- Jun 30, 2022
- Last updated
- Jun 30, 2022
- 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 | Primary |
Addresses
Primary practice location
29810 FM 1093 Rd Ste E
Fulshear, TX 77441-3923
Mailing address
29810 FM 1093 Rd Ste E
Fulshear, TX 77441-3923
Phone (281) 845-4683
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Speech and Language Services LLC | Behavior Analyst | Current | Accepting new patients |
Locations
29810 FM 1093 Rd
Ste E
Fulshear, TX 77441
Phone (281) 497-5577
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Fulshear, TX
- NPI 1245963362
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1184356701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29810 FM 1093 RD STE E",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774413923",
"telephone_number": "281-845-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29810 FM 1093 RD STE E",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774413923",
"telephone_number": "281-845-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGHTINGALE",
"first_name": "KELLY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulshear, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.