NPIMap

Organization Active NPI

Technology Enhanced Learning and Living

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1417383589
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TECHNOLOGY ENHANCED LEARNING AND LIVING
Practice address
223 W Anderson LN
#A115
Austin, TX 78752-1131
Phone
(512) 807-8955
Fax
(866) 561-4982
NPI assigned
Sep 20, 2013
Last updated
Sep 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Ms. Jamie Judd-Wall, BCBANPI 1861779464
Title
President
Phone
(512) 807-8955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

223 W Anderson LN
#A115
Austin, TX 78752-1131

Mailing address

223 W Anderson LN
#A115
Austin, TX 78752-1131
Phone (512) 807-8955

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1417383589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN",
            "address_2": "#A115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521131",
            "telephone_number": "512-807-8955",
            "fax_number": "866-561-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN",
            "address_2": "#A115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521131",
            "telephone_number": "512-807-8955",
            "fax_number": "866-561-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECHNOLOGY ENHANCED LEARNING AND LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "JUDD-WALL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-807-8955",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.