Active NPI
Dunklin Health and Wellness Management, LLC
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1841657962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-20931
- Legal business name
- DUNKLIN HEALTH AND WELLNESS MANAGEMENT, LLC
- Practice address
- 3201 Cherry Ridge St
Suite 205
San Antonio, TX 78230-4823 - Phone
- (210) 665-8875
- NPI assigned
- Jan 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray C Dunklin Jr., M.S., BCBA
- Title
- Behavior Analyst
- Phone
- (210) 665-8875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-20931 | Primary |
Addresses
Primary practice location
3201 Cherry Ridge St
Suite 205
San Antonio, TX 78230-4823
Mailing address
PO Box 90021
San Antonio, TX 78209-9021
Phone (210) 665-8875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-15-20931 | Other | BACB CERTIFICATION |
Other names 1
- Dunklin Health and Wellness
National Provider Directory
National Provider Directory- Tax ID family
- Dunklin Health and Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- San Antonio, TX
- NPI 1386002913
Locations
3201 Cherry Ridge Dr
Ste 205
San Antonio, TX 78230
Phone (210) 665-8875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454976000000",
"number": "1841657962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90021",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782099021",
"telephone_number": "210-665-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 CHERRY RIDGE ST",
"address_2": "SUITE 205",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782304823",
"telephone_number": "210-665-8875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNKLIN HEALTH AND WELLNESS MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-20",
"last_updated": "2016-02-09",
"status": "A",
"authorized_official_last_name": "DUNKLIN",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BEHAVIOR ANALYST",
"authorized_official_telephone_number": "210-665-8875",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.S., BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-20931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB CERTIFICATION",
"identifier": "1-15-20931",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dunklin Health and Wellness",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.