The Grove Preparatory

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE GROVE PREPARATORY

Practice address

1824 Sawdust Rd Ste 1
Spring, TX 77380-3667

Phone

(832) 224-6843

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Bivens, BCBANPI 1699095489

Title

Service Director

Phone

(281) 610-1987

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Lynne Bivens, BCBA

  • Behavior Analyst
  • Spring, TX
  • NPI 1699095489
  NPD Authorized official
• Brittany Lewis, BCBA

  • Behavior Analyst
  • Allen, TX
  • NPI 1871070078
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1801427877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 SAWDUST RD STE 1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803667",
            "telephone_number": "832-224-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 SAWDUST RD STE 1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803667",
            "telephone_number": "832-224-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE PREPARATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "281-610-1987",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.