Active NPI
Hayden Lee Heath Jr., M.S., BCBA, LBA
- Behavior Analyst
- Tyler, TX
National Provider Identifier
1932729621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3191
- Practice address
- 14864 Harvey Road
Tyler, TX 75706 - Phone
- (430) 235-2089
- NPI assigned
- Apr 22, 2020
- Last updated
- Apr 22, 2020
- 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 | 3191 | TX | Primary |
Addresses
Primary practice location
14864 Harvey Road
Tyler, TX 75706
Mailing address
1815 Pinecrest Dr
Tyler, TX 75701-5007
Phone (540) 705-6991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3191 | Other | TX | TEXAS DEPARTMENT OF LICENSING AND REGULATION |
| 1-19-40252 | 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3191 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1932729621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 PINECREST DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757015007",
"telephone_number": "540-705-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14864 HARVEY ROAD",
"city": "TYLER",
"state": "TX",
"postal_code": "75706",
"telephone_number": "430-235-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "HAYDEN",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "M.S., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
"identifier": "3191",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-19-40252",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
- Hearing Professionals of America LLC
- Hearinglife Texas, LLC
- Kandiss Elizabeth Hearn, APRN, FNP-C
- Sandra Jean Hearnsberger, RN
- Heart to Heart Hospice of Tyler LTD
- Haley Heather, ATP
- Heaton Ear Nose and Throat Associates of East Texas P a (ENT Associates of East Texas)
- Heaton Health Services Agency LLC
- Heaton Laser and Surgery Center L L C
- Charles Lawson Heaton, M. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.