Organization Active NPI

White Bridle Learning and Therapy

  • Behavior Analyst
  • Keller, TX
National Provider Identifier
1942694229
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1084003 Issued in TX
Legal business name
WHITE BRIDLE LEARNING AND THERAPY
Practice address
660 Keller Smithfield Rd
Keller, TX 76248-4228
Phone
(972) 740-0900
Fax
(817) 665-9197
NPI assigned
Mar 24, 2015
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Brook Bullen
Title
Owner
Phone
(940) 740-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1084003 TX Primary

Addresses

Primary practice location

660 Keller Smithfield Rd
Keller, TX 76248-4228

Mailing address

615 Thompson St
Irving, TX 75061-7218
Phone (972) 740-0900

Other identifiers 1

IdentifierTypeStateIssuer
1336564558OtherTXTYPE 1 NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1942694229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 THOMPSON ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617218",
            "telephone_number": "972-740-0900",
            "fax_number": "817-665-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KELLER SMITHFIELD RD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484228",
            "telephone_number": "972-740-0900",
            "fax_number": "817-665-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BRIDLE LEARNING AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "BULLEN",
        "authorized_official_first_name": "BROOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-740-0900"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1084003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1336564558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.