Individual provider Active NPI

Kellen Barrows, BCABA

  • Behavior Analyst
  • Rockwall, TX
National Provider Identifier
1225480403
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0156558 Issued in TX
Practice address
2701 Sunset Ridge Dr
Ste 303
Rockwall, TX 75032-0005
Phone
(469) 458-9021
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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 0156558 TX Primary

Addresses

Primary practice location

2701 Sunset Ridge Dr
Ste 303
Rockwall, TX 75032-0005

Mailing address

2701 Sunset Ridge Dr
Ste 303
Rockwall, TX 75032-0005
Phone (469) 458-9021

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

State licenses

LicenseStateTypeSpecialty
0156558TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1225480403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR",
            "address_2": "STE 303",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320005",
            "telephone_number": "469-458-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR",
            "address_2": "STE 303",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320005",
            "telephone_number": "469-458-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROWS",
        "first_name": "KELLEN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "0156558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.