NPIMap

Organization Active NPI

Texas ABA & Child Development Services PLLC

  • Behavior Analyst
  • Garland, TX
National Provider Identifier
1821554726
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TEXAS ABA & CHILD DEVELOPMENT SERVICES PLLC
Practice address
625 W Centerville Rd Ste 120
Garland, TX 75041-5428
Phone
(972) 905-5257
NPI assigned
Feb 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Brandi Freeman-Potter, BCBA, LBA
Title
Licensed Behavior Analyst, Owner
Phone
(214) 853-3506

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
In Home Supportive Care Agency 253Z00000X
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

625 W Centerville Rd Ste 120
Garland, TX 75041-5428

Mailing address

625 W Centerville Rd Ste 120
Garland, TX 75041-5428
Phone (972) 905-5257

National Provider Directory

National Provider Directory

Locations

625 W Centerville Rd
Ste 120
Garland, TX 75041
Phone (972) 905-5257

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1821554726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W CENTERVILLE RD STE 120",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415428",
            "telephone_number": "972-905-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CENTERVILLE RD STE 120",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415428",
            "telephone_number": "972-905-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ABA & CHILD DEVELOPMENT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "FREEMAN-POTTER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "LICENSED BEHAVIOR ANALYST, OWNER",
        "authorized_official_telephone_number": "214-853-3506",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.