Individual provider Active NPI

Andrea Jeannette Hayes, BCBA

  • Behavior Analyst
  • League City, TX
National Provider Identifier
1497253025
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2252 Longspur LN
League City, TX 77573-3912
Phone
(626) 622-7291
NPI assigned
Jan 29, 2018
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2252 Longspur LN
League City, TX 77573-3912

Mailing address

2252 Longspur LN
League City, TX 77573-3912
Phone (626) 622-7291

Other practice location 1

3602 N Washington St Apt C33
Stillwater, OK 74075-1324
Phone (626) 622-7291

Other practice location 2

3602 N Washington St Apt C33
Stillwater, OK 74075-1324
Phone (626) 622-7291

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

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1497253025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 LONGSPUR LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733912",
            "telephone_number": "626-622-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 LONGSPUR LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733912",
            "telephone_number": "626-622-7291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3602 N Washington St Apt C33",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740751324",
            "country_code": "US",
            "telephone_number": "626-622-7291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3602 N Washington St Apt C33",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740751324",
            "country_code": "US",
            "telephone_number": "626-622-7291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ANDREA",
        "middle_name": "JEANNETTE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.