East Texas Learning Lab

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EAST TEXAS LEARNING LAB

Doing business as

The Learning Lab

Practice address

1504 W Main St
Henderson, TX 75652-2836

Phone

(903) 918-3492

NPI assigned

Nov 27, 2023

Last updated

Apr 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristal Clay, CEONPI 1851137335

Title

Ceo/Director

Phone

(903) 918-3492

Specialties & licenses 3

Addresses

Other names 1

• The Learning Lab Doing business as

Locations

Practitioners 1

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.

• Kristal Clay

  • Behavior Technician
  • Henderson, TX
  • NPI 1851137335

  Early Intervention Provider Agency

  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1194591768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 COUNTY ROAD 212 E",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756524026",
            "telephone_number": "903-918-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 W MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756522836",
            "telephone_number": "903-918-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS LEARNING LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "903-918-3492",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Learning Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Learning Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shenandoah Davis, AGNP-C
• Heather Anne Dean, APRN-CNP
• Amsale Derese, DDS
• Dogwood Orthopaedic Clinic, PA
• John Lynn Duran, DDS
• East Texas Medical Center Healthcare Associates (First Physicians)
• East Texas Medical Center Henderson (ETMC Henderson CRNA)
• East Texas Medical Center Henderson (Henderson EPSDT)
• East Texas Medical Center Henderson (East Texas Medical Center Henderson FHC EPSDT)
• East Texas Medical Center Henderson (ETMC Henderson FHC)

• Behavior Analyst in Henderson, TX
• Providers in Henderson, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.