Individual provider Active NPI

Aaron T Haddock, BCBA

  • Behavior Analyst
  • Cypress, TX
National Provider Identifier
1629566567
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3909 Issued in TX
Practice address
12110 Huffmeister Rd
Cypress, TX 77429-3254
Phone
(281) 894-1423
Fax
(832) 912-4475
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 3909 TX Primary

Addresses

Primary practice location

12110 Huffmeister Rd
Cypress, TX 77429-3254

Mailing address

7423 Marble Glen LN
Houston, TX 77095-1501

Other practice location 1

11820 Cypress Corner Ln
Houston, TX 77065-1132
Phone (281) 894-1423

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
3909TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1629566567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 MARBLE GLEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 HUFFMEISTER RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293254",
            "telephone_number": "281-894-1423",
            "fax_number": "832-912-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11820 Cypress Corner Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770651132",
            "country_code": "US",
            "telephone_number": "281-894-1423",
            "fax_number": "832-912-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "AARON",
        "middle_name": "T",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-05-21",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.