Individual provider Active NPI

Victoria Grace Etter

  • Behavior Analyst
  • Keller, TX
National Provider Identifier
1407645666
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-81046
Practice address
651 S Main St Ste 102
Keller, TX 76248-7054
Phone
(214) 473-5889
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-81046 Primary

Addresses

Primary practice location

651 S Main St Ste 102
Keller, TX 76248-7054

Mailing address

450 Pebblecreek Dr
Keller, TX 76248-5623
Phone (720) 808-7400

Other practice location 1

2300 Clear Creek Rd Ste 203
Killeen, TX 76549-5404
Phone (214) 473-5889

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
The Missing Peace Autism Therapy Center, LLC Behavior Analyst CurrentSince Dec 7, 2025 Accepting new patients

Locations

651 S Main St
Ste 102
Keller, TX 76248
Phone (214) 473-5926

2300 Clear Creek Rd
Ste 203
Killeen, TX 76549
Phone (254) 433-5349

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1407645666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PEBBLECREEK DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485623",
            "telephone_number": "720-808-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MAIN ST STE 102",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487054",
            "telephone_number": "214-473-5889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Clear Creek Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765495404",
            "country_code": "US",
            "telephone_number": "214-473-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETTER",
        "first_name": "VICTORIA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-25-81046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.