Individual provider Active NPI

Ann Wanjiru Gathura, BCBA

  • Behavior Analyst
  • Duncanville, TX
National Provider Identifier
1487066932
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14672 Issued in CA
Practice address
706 W Center St
Duncanville, TX 75116-4568
Phone
(469) 642-8455
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2129 TX
Behavior Analyst 103K00000X 1-13-14672 CA Primary

Addresses

Primary practice location

706 W Center St
Duncanville, TX 75116-4568

Mailing address

706 W Center St
Duncanville, TX 75116-4568
Phone (469) 642-8455

Other practice location 1

1861 Valley View Ln Ste 100
Farmers Branch, TX 75234-8969
Phone (469) 642-8455

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

State licenses

LicenseStateTypeSpecialty
2129TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leap Applied Behavioral Service Behavior Analyst CurrentSince May 29, 2022 Accepting new patients

Locations

706 W Center St
Duncanville, TX 75116
Phone (469) 642-8455

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1487066932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W CENTER ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164568",
            "telephone_number": "469-642-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W CENTER ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164568",
            "telephone_number": "469-642-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1861 Valley View Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752348969",
            "country_code": "US",
            "telephone_number": "469-642-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATHURA",
        "first_name": "ANN",
        "middle_name": "WANJIRU",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2129",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.