Misty Turner Wade, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8301 Issued in IN

Practice address

305 N Heatherwilde Blvd Ste 350
Pflugerville, TX 78660-4196

Phone

(512) 305-3826

NPI assigned

May 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1304726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1629360722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 SUN MOUNTAIN DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414050",
            "telephone_number": "512-350-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 350",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604196",
            "telephone_number": "512-305-3826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2722 Sun Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786414050",
            "country_code": "US",
            "telephone_number": "512-350-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER WADE",
        "first_name": "MISTY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-07",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-11-8301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hi",
            "affiliation": "N",
            "address_1": "11423 Charleston Pkwy",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460381954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.