Active NPI
Victoria Lynne Wood
- Behavior Analyst
- Spring, TX
National Provider Identifier
1235625609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3078
- Practice address
- 16835 Deer Creek Dr Ste 200
Spring, TX 77379-4895 - Phone
- (281) 290-4411
- Fax
- (832) 916-2283
- NPI assigned
- Jul 9, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 2791 | TX | |
| Behavior Technician | 106S00000X | BACB371382 | TX | |
| Behavior Analyst | 103K00000X | 3078 | TX | Primary |
Addresses
Primary practice location
16835 Deer Creek Dr Ste 200
Spring, TX 77379-4895
Mailing address
16835 Deer Creek Dr Ste 200
Spring, TX 77379-4895
Phone (281) 290-4411
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2791 | TX | MD | Assistant Behavior Analyst |
| BACB371382 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole ABA Solutions, Inc. | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Spring, TX
- NPI 1508253261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1235625609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16835 DEER CREEK DR STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "773794895",
"telephone_number": "281-290-4411",
"fax_number": "832-916-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16835 DEER CREEK DR STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "773794895",
"telephone_number": "281-290-4411",
"fax_number": "832-916-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "VICTORIA",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "TX",
"license": "2791",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "BACB371382",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.