Individual provider Active NPI

Bethany Elliott

  • Behavior Analyst
  • Sugar Land, TX
National Provider Identifier
1316422678
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
15606 W Airport Blvd
Sugar Land, TX 77498
Phone
(346) 309-0070
NPI assigned
Oct 2, 2018
Last updated
Dec 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Specialties & licenses 2

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

Addresses

Primary practice location

15606 W Airport Blvd
Sugar Land, TX 77498

Mailing address

11101 W Airport Blvd Apt 7210
Stafford, TX 77477-3181
Phone (541) 261-4087

Other practice location 1

3600 S Gessner Rd Ste 100
Houston, TX 77063-5149
Phone (713) 782-1330

Other practice location 2

3500 S Gessner Rd Ste 300
Houston, TX 77063-5284
Phone (713) 782-1330

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

OrganizationSpecialtyStatusNew patients
Evergreen Behavioral Health, LLC Behavior Analyst Current Accepting new patients
Steps to Progress LLC Behavior Analyst PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1316422678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 W AIRPORT BLVD APT 7210",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773181",
            "telephone_number": "541-261-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15606 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77498",
            "telephone_number": "346-309-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 S Gessner Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770635149",
            "country_code": "US",
            "telephone_number": "713-782-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 S Gessner Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770635284",
            "country_code": "US",
            "telephone_number": "713-782-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.