Active NPI
Gary Scruggs Jr.
- Behavior Technician
- Arlington, TX
National Provider Identifier
1497561849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB611940
- Practice address
- 209 Billings St
Arlington, TX 76010-2474 - Phone
- (817) 592-5665
- NPI assigned
- Dec 9, 2024
- Sex
- Male
- 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 Technician | 106S00000X | BACB611940 | TX | Primary |
Addresses
Primary practice location
209 Billings St
Arlington, TX 76010-2474
Mailing address
5234 Wild Horse CT
Arlington, TX 76017-2075
Phone (972) 533-7281
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 |
|---|---|---|---|
| BACB611940 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1497561849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5234 WILD HORSE CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760172075",
"telephone_number": "972-533-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 BILLINGS ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760102474",
"telephone_number": "817-592-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "GARY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "BACB611940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.