Individual provider Active NPI

Rachel Massey, BCBA

  • Behavior Analyst
  • Tyler, TX
National Provider Identifier
1609310150
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-16-8627-044596 Issued in TX
Practice address
3310 S Broadway Ave Ste 100a
Tyler, TX 75701-7851
Phone
(210) 504-6277
Fax
(903) 470-7327
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 BCBA-16-8627-044596 TX Primary

Addresses

Primary practice location

3310 S Broadway Ave Ste 100a
Tyler, TX 75701-7851

Mailing address

3310 S Broadway Ave Ste 100a
Tyler, TX 75701-7851
Phone (210) 504-6277

Other practice location 1

2323 W Front St
Tyler, TX 75702-7704
Phone (903) 597-1351

Other practice location 2

7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727 ext. 1395

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
BCBA-16-8627-044596TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609310150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017851",
            "telephone_number": "210-504-6277",
            "fax_number": "903-470-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 S BROADWAY AVE STE 100A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017851",
            "telephone_number": "210-504-6277",
            "fax_number": "903-470-7327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 W Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757027704",
            "country_code": "US",
            "telephone_number": "903-597-1351",
            "fax_number": "903-535-7386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7108 S Kanner Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349977462",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "RACHEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2025-09-11",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BCBA-16-8627-044596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.