NPIMap

Organization Active NPI

Mustard Seed Autism Project, Inc

Doing business as ABA Academy

  • Behavior Analyst
  • Arlington, TX
National Provider Identifier
1841409158
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1073398 Issued in TX
Legal business name
MUSTARD SEED AUTISM PROJECT, INC
Doing business as
ABA Academy
Practice address
3605 West Pioneer Pkwy.
Suite C
Arlington, TX 76013-4500
Phone
(817) 277-8870
Fax
(817) 277-8875
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Ms. Nancy Wagner, BCBANPI 1164767752
Title
Executive Director
Phone
(817) 277-8870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1073398 TX Primary
Community/Behavioral Health Agency 251S00000X 1-07-3398 TX

Addresses

Primary practice location

3605 West Pioneer Pkwy.
Suite C
Arlington, TX 76013-4500

Mailing address

PO Box 14597
Arlington, TX 76094-1597
Phone (817) 277-8870

Other identifiers 3

IdentifierTypeStateIssuer
1-16-21569OtherTXBEHAVIOR ANALYST CERTIFICATION BOARD- BCBA
1-07-3398OtherTXBCBA CERTIFICATION
1-15-19081OtherTXBCBA CERTIFICATION

Other names 1

  • ABA Academy Doing business as

National Provider Directory

National Provider Directory

Locations

3605 W Pioneer Pkwy
Ste C
Pantego, TX 76013
Phone (817) 277-8870

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1841409158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14597",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760941597",
            "telephone_number": "817-277-8870",
            "fax_number": "817-277-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 WEST PIONEER PKWY.",
            "address_2": "SUITE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760134500",
            "telephone_number": "817-277-8870",
            "fax_number": "817-277-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEED AUTISM PROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-277-8870",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1073398",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "1-07-3398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD- BCBA",
            "identifier": "1-16-21569",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATION",
            "identifier": "1-07-3398",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATION",
            "identifier": "1-15-19081",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.