Individual provider Active NPI

Ravon Symone King

  • Behavior Technician
  • Killeen, TX
National Provider Identifier
1699443846
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-178328 Issued in TX
Practice address
4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone
(254) 630-1578
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BCBA701170 TX
Behavior Technician 106S00000X RBT-21-178328 TX Primary

Addresses

Primary practice location

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119

Mailing address

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone (254) 630-1578

Other practice location 1

578 S Wheat Rd
Belton, TX 76513-7134
Phone (254) 598-2620

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
BCBA701170TXMDBehavioral Analyst
RBT-21-178328TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ayala'S Therapist Behavior Analyst CurrentSince Jan 1, 2022 Accepting new patients
Kids Therapy Specialties LLC Behavior Analyst Past Accepting new patients

Locations

4003 W Stan Schlueter Loop
Ste 201
Killeen, TX 76549
Phone (254) 630-1578

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1699443846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496119",
            "telephone_number": "254-630-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496119",
            "telephone_number": "254-630-1578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "578 S Wheat Rd",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "TX",
            "postal_code": "765137134",
            "country_code": "US",
            "telephone_number": "254-598-2620",
            "fax_number": "254-848-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "RAVON",
        "middle_name": "SYMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BCBA701170",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-21-178328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.