Anglin Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9984 Issued in TX

Legal business name

ANGLIN CONSULTING, LLC

Practice address

5922 Nickel Bend LN
Richmond, TX 77469-2460

Phone

(909) 571-8321

Fax

(909) 222-6817

NPI assigned

May 17, 2017

Last updated

Nov 18, 2019By 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

Derric Anglin Jr., BCBA, PCCINPI 1912226283

Title

Board Certified Behavior Analyst

Phone

(909) 571-8321

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Derric Anglin Jr., BCBA

  • Behavior Analyst
  • Richmond, TX
  • NPI 1912226283
  NPD Authorized official

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1225565526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 NICKEL BEND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692460",
            "telephone_number": "909-571-8321",
            "fax_number": "909-222-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 NICKEL BEND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692460",
            "telephone_number": "909-571-8321",
            "fax_number": "909-222-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGLIN CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "DERRIC",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "909-571-8321",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BCBA, PCCI"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-14-9984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912226283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.