Individual provider Active NPI

Andrea J Hand, BCBA, LBA

  • Behavior Analyst
  • Wichita Falls, TX
National Provider Identifier
1619641784
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7862 Issued in TX
Practice address
3501 Sheppard Access Rd
Wichita Falls, TX 76306-4235
Phone
(940) 631-7117
Fax
(940) 386-2100
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 7862 TX Primary

Addresses

Primary practice location

3501 Sheppard Access Rd
Wichita Falls, TX 76306-4235

Mailing address

3501 Sheppard Access Rd
Wichita Falls, TX 76306-4235
Phone (940) 386-2100

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
North Texas Diagnostic Intervention Behavioral Clinic Behavior Analyst CurrentSince Aug 8, 2021 Accepting new patients

Locations

3501 Sheppard Access Rd
Wichita Falls, TX 76306
Phone (940) 228-5297

Organizations & group practices 1

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1619641784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SHEPPARD ACCESS RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763064235",
            "telephone_number": "940-386-2100",
            "fax_number": "940-386-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHEPPARD ACCESS RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763064235",
            "telephone_number": "940-631-7117",
            "fax_number": "940-386-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "7862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.