Kidd'S Kids ABA Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KIDD'S KIDS ABA THERAPY

Practice address

20502 Providence Point Dr
Katy, TX 77449-2054

Phone

(210) 326-9290

Fax

(832) 301-4998

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Kera Kidd, BCBANPI 1477067809

Title

Bcba/Ceo

Phone

(210) 326-9290

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kera Kidd

  • Behavior Analyst
  • Fulshear, TX
  • NPI 1477067809
  NPD Authorized official

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1679134043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20502 PROVIDENCE POINT DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492054",
            "telephone_number": "210-326-9290",
            "fax_number": "832-301-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20502 PROVIDENCE POINT DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492054",
            "telephone_number": "210-326-9290",
            "fax_number": "832-301-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDD'S KIDS ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "KERA",
        "authorized_official_title_or_position": "BCBA/CEO",
        "authorized_official_telephone_number": "210-326-9290",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-17-28930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBA",
            "identifier": "2006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Khoei-Mundo
• Tiffany Khong, PHARMD
• Sammy E Khoury, MD
• Anastasia Grega Khramov, M. ED, LPC-ASSOCIATE
• Zainab Khurshid, CPT
• Kids and Adults Therapy Services
• Kids in Motion Physical Therapy
• Kidstown Dental
• Dennis Kiecke, P.T.
• Gerard Nyunwu Kiffa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.