Individual provider Active NPI

Kaci Renee McAnally

  • Behavior Technician
  • Fort Worth, TX
National Provider Identifier
1609568468
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4917 Golden Triangle Blvd Ste 411
Fort Worth, TX 76244-4672
Phone
(817) 734-6515
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 Primary

Addresses

Primary practice location

4917 Golden Triangle Blvd Ste 411
Fort Worth, TX 76244-4672

Mailing address

605 Aberdeen Way
Southlake, TX 76092-9554
Phone (682) 251-1313

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allison'S Therapy Corner Behavior Technician CurrentSince May 28, 2023 Accepting new patients
Allison'S Therapy Corner, LLC PastSince May 28, 2023 Accepting new patients

Locations

4917 Golden Triangle Blvd
Ste 411
Fort Worth, TX 76244
Phone (817) 734-6515

Organizations & group practices 2

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1609568468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 ABERDEEN WAY",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929554",
            "telephone_number": "682-251-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 GOLDEN TRIANGLE BLVD STE 411",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444672",
            "telephone_number": "817-734-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANALLY",
        "first_name": "KACI",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.