Organization Active NPI

Behavior and Language Treatment Center

  • Developmentally Disabled Services Day Training Agency
  • Lindale, TX
National Provider Identifier
1922384403
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
629358 Issued in TX
Legal business name
BEHAVIOR AND LANGUAGE TREATMENT CENTER
Practice address
14623 FM 849
Lindale, TX 75771-2440
Phone
(903) 520-6243
Fax
(903) 496-0298
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Kimberly Elaine Butler, RNNPI 1174809743
Title
Owner
Phone
(903) 520-6243

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
Developmentally Disabled Services Day Training Agency 251C00000X 629358 TX Primary
Community/Behavioral Health Agency 251S00000X 629358 TX

Addresses

Primary practice location

14623 FM 849
Lindale, TX 75771-2440

Mailing address

PO Box 1168
Lindale, TX 75771-1168
Phone (903) 520-6243

Other practice location 1

19222 County Road 4108
Lindale, TX 75771-6170
Phone (903) 520-6243

Other practice location 2

14864 County Road 433
Tyler, TX 75706-3206
Phone (903) 520-6243

National Provider Directory

National Provider Directory

Locations

19222 County Road 4108
Lindale, TX 75771
Phone (903) 520-6243

14623 FM 849
Lindale, TX 75771
Phone (430) 235-2089

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": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1922384403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757711168",
            "telephone_number": "903-520-6243",
            "fax_number": "903-496-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 FM 849",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757712440",
            "telephone_number": "903-520-6243",
            "fax_number": "903-496-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19222 County Road 4108",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757716170",
            "country_code": "US",
            "telephone_number": "903-520-6243",
            "fax_number": "903-882-3964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14864 County Road 433",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757063206",
            "country_code": "US",
            "telephone_number": "903-520-6243",
            "fax_number": "903-496-0298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIOR AND LANGUAGE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-520-6243",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "629358",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "629358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.