Individual provider Active NPI

Meredith J Sharp, MA, BCBCA

  • Behavior Analyst
  • Kingwood, TX
National Provider Identifier
1750980223
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-58734 Issued in TX
Practice address
2665 Royal FRST Ste B200
Kingwood, TX 77339-5045
Phone
(281) 783-3969
NPI assigned
Oct 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 4966 TX
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-22-58734 TX Primary

Addresses

Primary practice location

2665 Royal FRST Ste B200
Kingwood, TX 77339-5045

Mailing address

2665 Royal FRST Ste B200
Kingwood, TX 77339-5045
Phone (281) 783-3969

Other practice location 1

10777 Westheimer Rd Ste 1100
Houston, TX 77042-3462
Phone (855) 832-6727 ext. 1450

Other practice location 2

1824 Sawdust Rd Bldg A
Spring, TX 77380-3667
Phone (832) 224-6843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@speckidsaba.com

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
4966TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Spectacular Kids ABA Therapy and Consulting, LLC Behavior Analyst CurrentSince Oct 16, 2022 Accepting new patients

Locations

2665 Royal Frst
Ste B200
Kingwood, TX 77339
Phone (281) 713-8980

Organizations & group practices 1

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": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1750980223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FRST STE B200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395045",
            "telephone_number": "281-783-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FRST STE B200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395045",
            "telephone_number": "281-783-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10777 Westheimer Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770423462",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1824 Sawdust Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773803667",
            "country_code": "US",
            "telephone_number": "832-224-6843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "MEREDITH",
        "middle_name": "J",
        "credential": "MA, BCBCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4966",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-22-58734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@speckidsaba.com",
            "affiliation": "N",
            "address_1": "2665 Royal Frst Ste B200",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773395045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.