Active NPI
Audrey Anna Barnard
- Behavior Technician
- Fort Worth, TX
National Provider Identifier
1265217483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6421 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-5419 - Phone
- (817) 353-2090
- Fax
- (817) 717-5169
- NPI assigned
- Aug 28, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
6421 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-5419
Mailing address
6421 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-5419
Phone (817) 353-2090
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Therapy Center of Fort Worth | Behavior Technician | 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
- Fort Worth, TX
- NPI 1447999032
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1265217483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6421 CAMP BOWIE BLVD STE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165419",
"telephone_number": "817-353-2090",
"fax_number": "817-717-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6421 CAMP BOWIE BLVD STE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165419",
"telephone_number": "817-353-2090",
"fax_number": "817-717-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNARD",
"first_name": "AUDREY",
"middle_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"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 Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.