NPIMap

Organization Active NPI

Magnolia Instructional Center

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1558735050
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13259
Legal business name
MAGNOLIA INSTRUCTIONAL CENTER
Practice address
2903 RR 620 N
BLDG B
Austin, TX 78734
Phone
(512) 266-9620
NPI assigned
Nov 20, 2015
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Meghan Houseman
Title
Director
Phone
(512) 266-9620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-13259 Primary

Addresses

Primary practice location

2903 RR 620 N
BLDG B
Austin, TX 78734

Mailing address

2903 RR 620 N
BLDG B
Austin, TX 78734
Phone (512) 266-9620

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Instructional Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2903 Ranch Road 620 N
Bldg B
Austin, TX 78734
Phone (512) 266-9620

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1558735050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 RR 620 N",
            "address_2": "BLDG B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-266-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 RR 620 N",
            "address_2": "BLDG B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-266-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA INSTRUCTIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "HOUSEMAN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-266-9620"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-13-13259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.