Active NPI
Kelly Meredith, M.ED BCBA
- Behavior Analyst
- Sanger, TX
National Provider Identifier
1306591995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54714
- Practice address
- 601 Elm St
Sanger, TX 76266-9635 - Phone
- (469) 705-7002
- NPI assigned
- Feb 13, 2022
- Sex
- Female
- 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 | 1-21-54714 | TX | Primary |
Addresses
Primary practice location
601 Elm St
Sanger, TX 76266-9635
Mailing address
601 Elm St
Sanger, TX 76266-9635
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1306591995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELM ST",
"city": "SANGER",
"state": "TX",
"postal_code": "762669635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELM ST",
"city": "SANGER",
"state": "TX",
"postal_code": "762669635",
"telephone_number": "469-705-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "KELLY",
"credential": "M.ED BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-21-54714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanger, TX
- Lovable Healthcare Inc
- Charity Lujan, M.A. CCC-SLP
- Susan Marie Mackenzie, R.N., C.P.N., IBCLC
- Kristina Martinez, MS RD CSSD
- Michelle Ann McDonald
- Mythical Fitness Trainers LLC (Fortitude Health and Performance)
- Neal Bhatt DMD PLLC
- New Hope Counseling PLLC
- Outstretched Arms LLC
- Outstretched Arms LLC (Red Bird Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.