Individual provider Active NPI

Tashenna J Gillmore, M.ED., BCBA

  • Behavior Analyst
  • Denton, TX
National Provider Identifier
1194137810
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14882
Practice address
6399 Fishtrap Rd
Denton, TX 76208-1607
Phone
(214) 608-7120
Fax
(940) 243-8195
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14882 Primary

Addresses

Primary practice location

6399 Fishtrap Rd
Denton, TX 76208-1607

Mailing address

2101 Colorado Blvd
#52115
Denton, TX 76206-2902
Phone (214) 608-7120

Other names 1

  • Tashenna J Howk Other name

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 Education

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Behavior LLC Behavior Analyst CurrentSince Apr 19, 2020 Accepting new patients

Locations

2101 Colorado Blvd
Unit 52115
Denton, TX 76206

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.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1194137810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 COLORADO BLVD",
            "address_2": "#52115",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762062902",
            "telephone_number": "214-608-7120",
            "fax_number": "940-383-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 FISHTRAP RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762081607",
            "telephone_number": "214-608-7120",
            "fax_number": "940-243-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMORE",
        "first_name": "TASHENNA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-13-14882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHENNA",
            "last_name": "HOWK",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.