Active NPI
Joshua Slater
- Behavior Analyst
- Houston, TX
National Provider Identifier
1902561707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4566
- Practice address
- 11820 Cypress Corner LN
Houston, TX 77065-1132 - Phone
- (281) 894-1423
- Fax
- (832) 912-4475
- NPI assigned
- Nov 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4566 | TX | Primary |
Addresses
Primary practice location
11820 Cypress Corner LN
Houston, TX 77065-1132
Mailing address
11820 Cypress Corner LN
Houston, TX 77065-1132
Phone (281) 894-1423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-52715 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4566 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1902561707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 CYPRESS CORNER LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770651132",
"telephone_number": "281-894-1423",
"fax_number": "832-912-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 CYPRESS CORNER LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770651132",
"telephone_number": "281-894-1423",
"fax_number": "832-912-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "4566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-21-52715",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.