Timothy Taylor Lolley, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-22-14148 Issued in GA

Practice address

4501 Magnolia Cove Dr Ste 106a
Kingwood, TX 77345-2369

Phone

(346) 200-5618

NPI assigned

Aug 25, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Austin Connect to Wellness, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1457784605
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1437826773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 BRISBANE CT STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794924",
            "telephone_number": "346-200-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAGNOLIA COVE DR STE 106A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452369",
            "telephone_number": "346-200-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLEY",
        "first_name": "TIMOTHY",
        "middle_name": "TAYLOR",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "GA",
            "license": "0-22-14148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Rose Lobo, PMHNP-BC
• Locus Counseling Center
• Vincente Loera
• Polly Jewell Logan, CNM
• Lois Y. Chu, D.O., P.a.
• Mercedes Yvette Lombera, RBT
• Lonnie Deggins
• Lonnie Deggins
• Anadeli Lopez
• Denisse Lopez

• Assistant Behavior Analyst in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Assistant Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; 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.