Individual provider Active NPI

Tessa Schreiber Vankirk, BCBA

  • Behavior Analyst
  • Dallas, TX
National Provider Identifier
1689818569
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1483 Issued in TX
Practice address
8100 Lomo Alto Dr Ste 125
Dallas, TX 75225-5897
Phone
(940) 367-4979
Fax
(469) 779-7133
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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
Behavior Analyst 103K00000X 1-04-1547
Behavior Analyst 103K00000X 1483 TX Primary

Addresses

Primary practice location

8100 Lomo Alto Dr Ste 125
Dallas, TX 75225-5897

Mailing address

5104 Sealands LN
Ft Worth, TX 76116-8416
Phone (940) 367-4979

Other practice location 1

6300 Harry Hines Blvd
Suite 900
Dallas, TX 75234
Phone (214) 456-4200

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
1483TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Springling Therapy Behavior Analyst PastSince Dec 22, 2020 Accepting new patients
Children'S Health System of Texas Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1689818569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 SEALANDS LN",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761168416",
            "telephone_number": "940-367-4979",
            "fax_number": "469-779-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 LOMO ALTO DR STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255897",
            "telephone_number": "940-367-4979",
            "fax_number": "469-779-7133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Harry Hines Blvd",
            "address_2": "Suite 900",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75234",
            "country_code": "US",
            "telephone_number": "214-456-4200",
            "fax_number": "214-456-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANKIRK",
        "first_name": "TESSA",
        "middle_name": "SCHREIBER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-04-1547",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.