Raven Samone McKinney

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-93368 Issued in TX

Practice address

3100 Premier Dr
St 234
Irving, TX 75063

Phone

(972) 756-1222

NPI assigned

Oct 28, 2019

Last updated

Oct 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Monarch Behavioral Therapy Bii, LLC

  dba Behavioral Innovations

  • Behavior Analyst
  • Columbia, MD
  • NPI 1043456296

  Behavior Technician

  NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1417590936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PREMIER DR",
            "address_2": "ST 234",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PREMIER DR",
            "address_2": "ST 234",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-756-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "RAVEN",
        "middle_name": "SAMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-93368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher McGough, PHARM.D CACP
• Lauren McGrady
• Melissa McGuire, BCBA
• Amber McKee, PHARMD
• Patrick McKeethen, P.T.
• Wilhelmenia McLaurin, M.ED
• Kimberly McLean, O.D.
• Diana Joyce McMains, NP
• Janet Hix McMillen, MS -PT
• Josh McNelly, RBT

• Behavior Technician in Irving, TX
• Providers in Irving, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.