Individual provider Active NPI

Karri Shojaei-Scott, BCBA

  • Behavior Analyst
  • Rockwall, TX
National Provider Identifier
1801332267
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-24922 Issued in TX
Practice address
401 W Washington St
Rockwall, TX 75087-3615
Phone
(972) 722-3892
Fax
(214) 602-2729
NPI assigned
Jan 10, 2017
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 1-16-24922 TX Primary

Addresses

Primary practice location

401 W Washington St
Rockwall, TX 75087-3615

Mailing address

401 W Washington St
Rockwall, TX 75087-3615
Phone (972) 722-3892

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Sisters, LLC Behavior Analyst Current Accepting new patients
Wilson Sisters, LLC Behavior Analyst CurrentSince Feb 14, 2021 Accepting new patients
DKD for Autism LLC Behavior Analyst PastSince Mar 7, 2021 Accepting new patients

Locations

2300 Joe Ramsey Blvd E
Ste B
Greenville, TX 75401

2302 Joe Ramsey Blvd E
Ste B
Greenville, TX 75401
Phone (903) 453-8050

401 W Washington St
Rockwall, TX 75087
Phone (972) 722-3892

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1801332267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W WASHINGTON ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873615",
            "telephone_number": "972-722-3892",
            "fax_number": "214-602-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W WASHINGTON ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873615",
            "telephone_number": "972-722-3892",
            "fax_number": "214-602-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOJAEI-SCOTT",
        "first_name": "KARRI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-16-24922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.