Organization Active NPI

Kaleidoverse ABA LLC

  • Community/Behavioral Health Agency
  • Montgomery, TX
National Provider Identifier
1922859107
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KALEIDOVERSE ABA LLC
Practice address
309 Lochvale Peak CT
Montgomery, TX 77316-2183
Phone
(936) 242-2926
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Kris Fritsche, BCBA
Title
Ceo
Phone
(936) 242-2926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

309 Lochvale Peak CT
Montgomery, TX 77316-2183

Mailing address

309 Lochvale Peak CT
Montgomery, TX 77316-2183
Phone (936) 242-2926

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1922859107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LOCHVALE PEAK CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162183",
            "telephone_number": "936-242-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LOCHVALE PEAK CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162183",
            "telephone_number": "936-242-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOVERSE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "FRITSCHE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-242-2926",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.