Active NPI
Kyndra Sturdivant
- Behavior Analyst
- Keller, TX
National Provider Identifier
1487205308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3766
- Practice address
- 1901 S Main St
Keller, TX 76248-5120 - Phone
- (817) 691-3283
- NPI assigned
- Sep 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-48883 | TX | |
| Behavior Analyst | 103K00000X | 3766 | TX | Primary |
Addresses
Primary practice location
1901 S Main St
Keller, TX 76248-5120
Mailing address
6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236
Phone (817) 952-8917
Other practice location 1
6201 Colleyville Blvd Ste 100
Colleyville, TX 76034-6236
Phone (817) 952-8917
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-48883 | TX | MD | Behavior Technician |
| 3766 | TX | MD | Dental Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1487205308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 COLLEYVILLE BLVD STE 100",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346236",
"telephone_number": "817-952-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S MAIN ST",
"city": "KELLER",
"state": "TX",
"postal_code": "762485120",
"telephone_number": "817-691-3283"
}
],
"practiceLocations": [
{
"address_1": "6201 Colleyville Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Colleyville",
"state": "TX",
"postal_code": "760346236",
"country_code": "US",
"telephone_number": "817-952-8917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STURDIVANT",
"first_name": "KYNDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-18-48883",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
- Joanna None Strong, LPC
- Morgan Diane Strub, O.D.
- Corey Nicholas Strunk, DC
- Vanessa Stuart
- Susan L Stumm, MS/ABD, CCC-SLP
- Justin Daniel Sudbeck, APRN, AGACNP-BC
- Sugar N Spice Total Body Wellness Spa
- Superior Lifestyles Assisted Living
- Support Space Therapy and Wellness, PLLC
- Support Space Therapy and Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.