Active NPI
Kimberly Travis
- Behavior Analyst
- Irving, TX
National Provider Identifier
1316370380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-3979
- Practice address
- 6301 Campus Circle Dr E
Irving, TX 75063-2712 - Phone
- (817) 249-4807
- NPI assigned
- Aug 14, 2013
- Last updated
- Aug 14, 2013
- 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 Analyst | 103K00000X | 1-08-3979 | TX | Primary |
Addresses
Primary practice location
6301 Campus Circle Dr E
Irving, TX 75063-2712
Mailing address
2905 Emerson LN
Denton, TX 76209-1556
Other names 1
- Kimberly Day
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": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1316370380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 EMERSON LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762091556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 CAMPUS CIRCLE DR E",
"city": "IRVING",
"state": "TX",
"postal_code": "750632712",
"telephone_number": "817-249-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-08-3979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "DAY",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.