Active NPI
Michael James Banks
- Behavior Analyst
- Killeen, TX
National Provider Identifier
1982307195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CB61353675
- Practice address
- 4003 W Stan Schlueter Loop
Killeen, TX 76549-6119 - Phone
- (719) 352-2081
- NPI assigned
- Mar 24, 2023
- 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 | CB61353675 | WA | Primary |
Addresses
Primary practice location
4003 W Stan Schlueter Loop
Killeen, TX 76549-6119
Mailing address
1420 30TH St SE Apt 17
Auburn, WA 98002-8105
Phone (509) 212-5020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB61353675 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1982307195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 30TH ST SE APT 17",
"city": "AUBURN",
"state": "WA",
"postal_code": "980028105",
"telephone_number": "509-212-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 W STAN SCHLUETER LOOP",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496119",
"telephone_number": "719-352-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "CB61353675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.