Individual provider Active NPI

Emily Rose, BCBA

  • Behavior Analyst
  • Addison, TX
National Provider Identifier
1659853232
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37163
Practice address
15851 Dallas Pkwy Ste 1150
Addison, TX 75001-3325
Phone
(855) 782-7822
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Other Technician 247200000X RBT-18-54665 TX
Behavior Analyst 103K00000X 1-19-37163 Primary

Addresses

Primary practice location

15851 Dallas Pkwy Ste 1150
Addison, TX 75001-3325

Mailing address

15851 Dallas Pkwy Ste 1150
Addison, TX 75001-3325

Other practice location 1

3403B Garden Villa Ln
Austin, TX 78704-6915
Phone (855) 832-6737 ext. 1828

Other practice location 2

2499 S Capital Of Texas Hwy Bldg B
Austin, TX 78746-7762
Phone (512) 732-2511

Other identifiers 2

IdentifierTypeStateIssuer
1-19-37163OtherBACB
RBT-18-54665OtherTXBACB

Other names 1

  • Emily Hulsey Former name

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
RBT-18-54665TXMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1659853232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15851 DALLAS PKWY STE 1150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15851 DALLAS PKWY STE 1150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013325",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3403B Garden Villa Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787046915",
            "country_code": "US",
            "telephone_number": "855-832-6737 x1828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2499 S Capital Of Texas Hwy Bldg B",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787467762",
            "country_code": "US",
            "telephone_number": "512-732-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "EMILY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "RBT-18-54665",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-37163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-19-37163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-18-54665",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HULSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.