Individual provider Active NPI

Amy Wang, M.ED., BCBA, LBA

  • Behavior Analyst
  • Missouri City, TX
National Provider Identifier
1861961146
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2550 Issued in TX
Practice address
7435 Highway 6 Ste F
Missouri City, TX 77459-5135
Phone
(832) 539-1289
Fax
(832) 539-6271
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 2550 TX Primary

Addresses

Primary practice location

7435 Highway 6 Ste F
Missouri City, TX 77459-5135

Mailing address

7435 Highway 6 Ste F
Missouri City, TX 77459-5135

Other practice location 1

611 Rockmead Dr
Kingwood, TX 77339-2258
Phone (281) 713-8980

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2550TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Spectacular Kids ABA Therapy and Consulting, LLC Behavior Analyst PastSince Oct 16, 2022 Accepting new patients
Spectacular Kids ABA Therapy of Missouri City Behavior Analyst PastSince Sep 25, 2022 Accepting new patients
The Behavior Toolbox, L L C Behavior Analyst Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1861961146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 HIGHWAY 6 STE F",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 HIGHWAY 6 STE F",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595135",
            "telephone_number": "832-539-1289",
            "fax_number": "832-539-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Rockmead Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392258",
            "country_code": "US",
            "telephone_number": "281-713-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "AMY",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.