Organization Active NPI

Endeavor Behavioral Institute LLC

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1558774513
Registry record updated Jun 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-7334 Issued in TX
Legal business name
ENDEAVOR BEHAVIORAL INSTITUTE LLC
Practice address
1316 Crockett St
Houston, TX 77007-4122
Phone
(832) 405-9590
NPI assigned
Jun 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2014

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

Authorized official

Name
Lynsey Jackson, BCBA
Title
Owner, Executive Director
Phone
(832) 405-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-10-7334 TX Primary

Addresses

Primary practice location

1316 Crockett St
Houston, TX 77007-4122

Mailing address

1316 Crockett St
Houston, TX 77007-4122
Phone (832) 405-9590

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402099200000",
    "number": "1558774513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 CROCKETT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770074122",
            "telephone_number": "832-405-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 CROCKETT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770074122",
            "telephone_number": "832-405-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR BEHAVIORAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-07",
        "last_updated": "2014-06-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LYNSEY",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-405-9590",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-10-7334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; 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.