Active NPI
Thomas Dan Tribble, RBT
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1245694058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-15-08738
- Practice address
- 10101 Oak Grove Rd
Fort Worth, TX 76140-5720 - Phone
- (817) 939-8972
- NPI assigned
- Apr 7, 2016
- Last updated
- Apr 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | RBT-15-08738 | TX | Primary |
Addresses
Primary practice location
10101 Oak Grove Rd
Fort Worth, TX 76140-5720
Mailing address
10101 Oak Grove Rd
Fort Worth, TX 76140-5720
Phone (817) 939-8972
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 |
|---|---|---|---|
| RBT-15-08738 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1245694058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 OAK GROVE RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761405720",
"telephone_number": "817-939-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 OAK GROVE RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761405720",
"telephone_number": "817-939-8972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBBLE",
"first_name": "THOMAS",
"middle_name": "DAN",
"name_prefix": "Mr.",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "RBT-15-08738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.