Individual provider Active NPI

Haven Niland

  • Behavior Analyst
  • Denton, TX
National Provider Identifier
1922629849
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3082 Issued in TX
Practice address
409 N I 35 E
Denton, TX 76205
Phone
(940) 369-5373
NPI assigned
May 1, 2020
Last updated
May 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 3082 TX Primary
Behavior Analyst 103K00000X 354123 NU

Addresses

Primary practice location

409 N I 35 E
Denton, TX 76205

Mailing address

409 N I 35 E
Denton, TX 76205

Other identifiers 2

IdentifierTypeStateIssuer
3082OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION
354123OtherTXBEHAVIOR ANALYSIS CERTIFICATION BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andreaweertman@unt.edu Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1922629849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N I 35 E",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N I 35 E",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76205",
            "telephone_number": "940-369-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILAND",
        "first_name": "HAVEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3082",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "354123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
            "identifier": "3082",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "354123",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andreaweertman@unt.edu",
            "affiliation": "N",
            "endpointDescription": "medical and billing specialist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical and billing specialist",
            "address_1": "490 N I 35 E",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.