Active NPI
Kim Tran, BCBA, LBA
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1972004950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30533
- Practice address
- 5340 N Tarrant Pkwy
Fort Worth, TX 76244-6293 - Phone
- (682) 900-1444
- Fax
- (682) 900-1444
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- 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 | 1-18-30533 | Primary |
Addresses
Primary practice location
5340 N Tarrant Pkwy
Fort Worth, TX 76244-6293
Mailing address
5340 N Tarrant Pkwy
Fort Worth, TX 76244-6293
Phone (682) 900-1444
Other practice location 1
1200 Aviation Blvd Ste 100
Redondo Beach, CA 90278-4059
Phone (310) 376-2468
Other practice location 2
255 W Lebanon Ste 212
Frisco, TX 75036-3404
Phone (855) 782-7822
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Behavior Centers LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Willow Park, TX
- NPI 1265072680
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1972004950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5340 N TARRANT PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446293",
"telephone_number": "682-900-1444",
"fax_number": "682-900-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 N TARRANT PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446293",
"telephone_number": "682-900-1444",
"fax_number": "682-900-1444"
}
],
"practiceLocations": [
{
"address_1": "1200 Aviation Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Redondo Beach",
"state": "CA",
"postal_code": "902784059",
"country_code": "US",
"telephone_number": "310-376-2468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 W Lebanon Ste 212",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750363404",
"country_code": "US",
"telephone_number": "855-782-7822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "KIM",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-30533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.