Childs Path

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12040 Issued in TX

Legal business name

CHILDS PATH

Practice address

8720 W Main St
Frisco, TX 75033-3079

Phone

(214) 681-0344

Fax

(214) 291-5692

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Catherine Boatman, M.S., B.C.B.A.

Title

Director

Phone

(214) 681-0344

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1588081731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864557",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750864557",
            "telephone_number": "214-681-0344",
            "fax_number": "214-291-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 W MAIN ST",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333079",
            "telephone_number": "214-681-0344",
            "fax_number": "214-291-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDS PATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BOATMAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-681-0344",
        "authorized_official_credential": "M.S., B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-12-12040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002BF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "12347082668",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316338544",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720332117",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851718209",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3639503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Frisco, TX
• Providers in Frisco, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.