Petimat Dudurkaewa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

773 Bandit TRL
Keller, TX 76248-0111

Phone

(817) 646-7572

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1770480428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 BANDIT TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480111",
            "telephone_number": "817-646-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 BANDIT TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480111",
            "telephone_number": "817-646-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDURKAEWA",
        "first_name": "PETIMAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Anwi Etame OD Professional Optometric Corporation (Keller Premier Eye Care)
• Dr. Buie & Associates, PC
• Kaitlynn Ann Drewes
• Natalie Driver
• Alyssa Dudley
• Tommy Brent Duncan, MD
• Tracy Elaine Dunn, MA, LPC-A
• Mazen Duraini, MD, DDS
• Teddy Paul Dyer Jr., D.D.S.
• Eastland Memorial Hospital District (Keller Oaks Healthcare Center)

• Behavior Analyst in Keller, TX
• Providers in Keller, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.