April Federoff

Individual provider Active NPI Behavior Analyst · Killeen, TX

NPI 1922532423 · NPPES record last updated Nov 3, 2022

Key facts

NPI
1922532423
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
2753 (TX)
Practice address
1200 E Stan Schlueter Loop
Killeen, TX 76542-5481
Phone
(727) 278-2479
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2753TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Willowco Collective Learning LLC Current
since Feb 6, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 657 TN
Behavior Analyst 103K00000X 2753 TX Yes

Addresses

Primary practice location

1200 E Stan Schlueter Loop
Killeen, TX 76542-5481

Mailing address

13249 Carr Ridge Rd
Silver Point, TN 38582-6025
Phone (931) 201-9222

Other practice location 1

114 N Cedar Ave
Cookeville, TN 38501-2417
Phone (931) 201-9222

Other providers in Killeen, TX

All providers in Killeen, TX · Behavior Analyst in Texas

Sources for this page

Verify at the official NPI Registry.