West Texas Child Development Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1-13-14897 Issued in TX

Legal business name

WEST TEXAS CHILD DEVELOPMENT CENTER

Practice address

2032 W Harris Ave
San Angelo, TX 76901-3806

Phone

(325) 320-3204

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Grant Michael Ingram, M.ED, BCBANPI 1740619444

Title

Owenr

Phone

(325) 320-3204

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Grant Ingram, M.ED, BCBA

  • Behavior Analyst
  • San Angelo, TX
  • NPI 1740619444
  NPD (past) Authorized official

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1730599382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 W HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013806",
            "telephone_number": "325-320-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 W HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013806",
            "telephone_number": "325-320-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS CHILD DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWENR",
        "authorized_official_telephone_number": "325-320-3204",
        "authorized_official_credential": "M.ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "1-13-14897",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl K Wehner, MD
• William A Weidner
• Taylor Weiershausen, PNP
• Shelly Denise Weise, EDD
• West Loop Medical Clinic Inc
• West Texas Counseling & Guidance Inc
• West Texas Counselling and Rehabilitation Program of San Angelo, Inc. (WTCR San Angelo, Inc.)
• West Texas Dermatology and Skin Cancer Center PLLC
• West Texas E.a.R.S, (Answer Angelo)
• West Texas Healthcare LLC (Paradigm Home Health)

• Developmentally Disabled Services Day Training Agency in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.