Active NPI
Carol Fenley, MS, BCBA
- Behavior Analyst
- Sugar Land, TX
National Provider Identifier
1427407048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-17332
- Practice address
- 330 Darby Trails Dr
Sugar Land, TX 77479-5248 - Phone
- (281) 460-7011
- NPI assigned
- Jun 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-17332 | TX | Primary |
Addresses
Primary practice location
330 Darby Trails Dr
Sugar Land, TX 77479-5248
Mailing address
330 Darby Trails Dr
Sugar Land, TX 77479-5248
Phone (281) 460-7011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-2390742 | Medicaid | TX |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464998400000",
"number": "1427407048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 DARBY TRAILS DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795248",
"telephone_number": "281-460-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 DARBY TRAILS DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795248",
"telephone_number": "281-460-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENLEY",
"first_name": "CAROL",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-04",
"last_updated": "2016-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-14-17332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35-2390742",
"state": "TX"
}
],
"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 Jun 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.