Individual provider Active NPI

Grace Wright, BCBA

  • Behavior Analyst
  • Killeen, TX
National Provider Identifier
1538528062
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38956 Issued in TX
Practice address
1105 N 18TH St
Apt 104
Killeen, TX 76541-3660
Phone
(920) 495-6240
NPI assigned
Feb 11, 2016
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-38956 TX Primary

Addresses

Primary practice location

1105 N 18TH St
Apt 104
Killeen, TX 76541-3660

Mailing address

1601 S Mopac Expy
Ste C-300
Austin, TX 78746-7009

Other practice location 1

4001 N Mays St Ste 100
Round Rock, TX 78665-2735
Phone (512) 354-1820

Other names 1

  • Grace Kraemer Former name

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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1538528062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY",
            "address_2": "STE C-300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N 18TH ST",
            "address_2": "APT 104",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765413660",
            "telephone_number": "920-495-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 N Mays St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786652735",
            "country_code": "US",
            "telephone_number": "512-354-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "GRACE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-19-38956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "KRAEMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.