Eda Kivrak

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

15335 Silverman St
Webster, TX 77598-2013

Phone

(832) 949-5098

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1295457265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 SILVERMAN ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982013",
            "telephone_number": "832-949-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 SILVERMAN ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982013",
            "telephone_number": "832-949-5098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17170 Mill Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984305",
            "country_code": "US",
            "telephone_number": "832-240-4563",
            "fax_number": "128-171-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIVRAK",
        "first_name": "EDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "outlook",
            "affiliation": "N",
            "address_1": "17170 Mill Forest Rd",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775984305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• KND Development 59 LLC

• Behavior Technician in Webster, TX
• Providers in Webster, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.