Individual provider Active NPI

Miranda Servey

  • Behavior Analyst
  • Aubrey, TX
National Provider Identifier
1245990183
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
8100 Issued in TX
Practice address
26919 US Highway 380 E Ste 212
Aubrey, TX 76227-0239
Phone
(214) 778-1153
Fax
(214) 778-1153
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 8100 TX Primary

Addresses

Primary practice location

26919 US Highway 380 E Ste 212
Aubrey, TX 76227-0239

Mailing address

2831 W Eldorado Pkwy Ste 106
Little Elm, TX 75068-3540
Phone (214) 778-1153

Other practice location 1

6824 Logue Ln
Waco, TX 76708-7241
Phone (254) 327-2001

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
8100TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Autism Center, LLC Behavior Analyst CurrentSince Feb 23, 2025 Accepting new patients

Locations

26919 US Highway 380 E
Ste 212
Aubrey, TX 76227
Phone (214) 778-1153

2701 Shoreline Dr
Ste 151
Denton, TX 76210
Phone (214) 778-1153

421 N Sam Rayburn Fwy
#100
Sherman, TX 75090
Phone (214) 778-1153

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.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1245990183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 W ELDORADO PKWY STE 106",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750683540",
            "telephone_number": "214-778-1153",
            "fax_number": "214-778-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26919 US HIGHWAY 380 E STE 212",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762270239",
            "telephone_number": "214-778-1153",
            "fax_number": "214-778-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6824 Logue Ln",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767087241",
            "country_code": "US",
            "telephone_number": "254-327-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERVEY",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "8100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.