Active NPI
Meredith J Sharp, MA, BCBCA
- Behavior Analyst
- Kingwood, TX
National Provider Identifier
1750980223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-58734
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4966 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectacular Kids ABA Therapy and Consulting, LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Kingwood, TX
- NPI 1871868125
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.