Kristin Tully, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41633 Issued in TX

Practice address

1516 E Palm Valley Blvd BLDG C
Round Rock, TX 78664-4619

Phone

(512) 733-2800

NPI assigned

Jan 17, 2018

Last updated

Mar 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Autism Center, LLC

  • Behavior Analyst
  • New Orleans, LA
  • NPI 1124558879
  NPD (past)
• Exceptional Kidz Rehabilitation

  dba Exceptional Therapies

  • Speech-Language Pathologist
  • Pemberton, NJ
  • NPI 1467738492

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1619485265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD BLDG C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD BLDG C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Wrightstown Sykesville Rd Unit 15",
            "address_purpose": "LOCATION",
            "city": "Wrightstown",
            "state": "NJ",
            "postal_code": "085621530",
            "country_code": "US",
            "telephone_number": "609-969-1455",
            "fax_number": "609-353-1549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Pemberton",
            "state": "NJ",
            "postal_code": "080681232",
            "country_code": "US",
            "telephone_number": "609-969-1455",
            "fax_number": "609-353-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLY",
        "first_name": "KRISTIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3316",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "RBT-16-21225",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-20-41633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Tucay
• Brenda Tucker, FNP-C
• Sierra Faith Tucker
• Jody Tudor, ARNP
• Maya Tullio, OTR/L
• Stephanie Ayse Tuncel, PSY.D.
• Lisa Turner
• Trevor Turner, M.D.
• Reileigh Turro
• Amelia Grace Turvey, LPC

• Behavior Analyst in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.