Individual provider Active NPI

Deborah Lederman, MA

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1730645441
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2237 Issued in TX
Practice address
11718 Metric Blvd BLDG a
Austin, TX 78758-3203
Phone
(512) 265-3615
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2237 TX Primary

Addresses

Primary practice location

11718 Metric Blvd BLDG a
Austin, TX 78758-3203

Mailing address

11718 Metric Blvd BLDG a
Austin, TX 78758-3203

Other practice location 1

2517 Enfield Rd
Austin, TX 78703-3715
Phone (512) 900-1425

Other names 1

  • Deborah Yorke 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2237TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Learning LLC Behavior Analyst Past Accepting new patients
SPRK LLC PastSince Dec 15, 2019 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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1730645441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11718 METRIC BLVD BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11718 METRIC BLVD BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583203",
            "telephone_number": "512-265-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2517 Enfield Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787033715",
            "country_code": "US",
            "telephone_number": "512-900-1425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "DEBORAH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "YORKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.