Kail T Graham

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4353 Issued in TX

Practice address

140 Uptown Ave
Brownsville, TX 78520-7559

Phone

(956) 544-7722

Fax

(956) 544-7728

NPI assigned

Nov 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1386898690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 UPTOWN AVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207559",
            "telephone_number": "956-544-7722",
            "fax_number": "956-544-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 UPTOWN AVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207559",
            "telephone_number": "956-544-7722",
            "fax_number": "956-544-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KAIL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-08-4353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169033101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clemente Govea, SURGICAL ASSISTANT
• Rose Gowen, M.D.
• Gracepoint Healthcare Associates PLLC
• Esmeralda Gracia, D.C.
• Graciela M Leija MD PA
• Marcus F Graham
• Cailey Briann Granado, PTA
• Grande Optical, Inc.
• Grande PT Sports Medicine & Wellness P.L.L.C.
• Grandpa & Grandma Primary Home Care

• Behavior Analyst in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.