Individual provider Active NPI

Devyn McReynolds, RBT

  • Behavior Technician
  • Waco, TX
National Provider Identifier
1558087205
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
22-236778 Issued in TX
Practice address
900 W State Highway 6
Waco, TX 76712-3775
Phone
(254) 300-5090
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 22-236778 TX Primary

Addresses

Primary practice location

900 W State Highway 6
Waco, TX 76712-3775

Mailing address

903 Parkview Cir
Hewitt, TX 76643-3265
Phone (903) 312-1315

Other practice location 1

900 West State Hwy
Waco, TX 76712
Phone (903) 312-1315

Other identifiers 1

IdentifierTypeStateIssuer
22-236778OtherTXBACB

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
22-236778TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Consulting, LLC PastSince Oct 16, 2022 Accepting new patients

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1558087205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PARKVIEW CIR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433265",
            "telephone_number": "903-312-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W STATE HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123775",
            "telephone_number": "254-300-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 West State Hwy",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "76712",
            "country_code": "US",
            "telephone_number": "903-312-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "DEVYN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "22-236778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "22-236778",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.