Active NPI
Beata Shepherd
- Behavior Analyst
- Humble, TX
National Provider Identifier
1760887913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 18401 Timber Forest Dr
Humble, TX 77346-2535 - Phone
- (281) 852-0501
- NPI assigned
- Oct 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
18401 Timber Forest Dr
Humble, TX 77346-2535
Mailing address
4615 Tealgate Dr
Spring, TX 77373-8559
Phone (904) 672-5228
Other practice location 1
9141 Cypress Green Dr
Suite 2
Jacksonville, FL 32256-2013
Phone (904) 647-1849 ext. 113
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1760887913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 TEALGATE DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773738559",
"telephone_number": "904-672-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18401 TIMBER FOREST DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773462535",
"telephone_number": "281-852-0501"
}
],
"practiceLocations": [
{
"address_1": "9141 Cypress Green Dr",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322562013",
"country_code": "US",
"telephone_number": "904-647-1849 x113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPHERD",
"first_name": "BEATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.