Active NPI
Evelyn Cierra Haney, BCBA
- Behavior Analyst
- Flower Mound, TX
National Provider Identifier
1215325287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-17064
- Practice address
- 4491 Long Prairie Rd Ste 300
Flower Mound, TX 75028-1795 - Phone
- (469) 687-9184
- NPI assigned
- Dec 29, 2014
- Last updated
- Feb 11, 2021
- 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 | 1-14-17064 | Primary |
Addresses
Primary practice location
4491 Long Prairie Rd Ste 300
Flower Mound, TX 75028-1795
Mailing address
4491 Long Prairie Rd Ste 300
Flower Mound, TX 75028-1795
Phone (469) 687-9184
Other practice location 1
3134A Calhoun St
New Orleans, LA 70125-4202
Phone (866) 727-8274
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1215325287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4491 LONG PRAIRIE RD STE 300",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281795",
"telephone_number": "469-687-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4491 LONG PRAIRIE RD STE 300",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281795",
"telephone_number": "469-687-9184"
}
],
"practiceLocations": [
{
"address_1": "3134A Calhoun St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701254202",
"country_code": "US",
"telephone_number": "866-727-8274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANEY",
"first_name": "EVELYN",
"middle_name": "CIERRA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-29",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-14-17064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.