Individual provider Active NPI

Doretha Garman, BCBA

  • Behavior Analyst
  • McKinney, TX
National Provider Identifier
1245614361
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1106 Issued in TX
Practice address
4601 Brighton Dr
McKinney, TX 75070-8678
Phone
(214) 679-7001
NPI assigned
Jul 18, 2015
Last updated
Mar 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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 1106 TX Primary

Addresses

Primary practice location

4601 Brighton Dr
McKinney, TX 75070-8678

Mailing address

450 Century Pkwy Ste 250F
Allen, TX 75013-8136
Phone (214) 679-7001

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL portiapro Direct

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
1106TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
D&L ABA Therapy and Educational Solutions Behavior Analyst CurrentSince Mar 13, 2022 Accepting new patients

Locations

450 Century Pkwy
Ste 250F
Allen, TX 75013

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1245614361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CENTURY PKWY STE 250F",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138136",
            "telephone_number": "214-679-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BRIGHTON DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708678",
            "telephone_number": "214-679-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMAN",
        "first_name": "DORETHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-18",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "portiapro",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4601 Brighton Dr",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750708678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.