Active NPI
Edward Hargroves III, M. ED, BCBA
- Behavior Analyst
- Carrollton, TX
National Provider Identifier
1982951919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8499
- Practice address
- 3630 N Josey LN
Suite 100
Carrollton, TX 75007-3159 - Phone
- (469) 892-7500
- Fax
- (469) 575-3002
- NPI assigned
- Aug 9, 2012
- 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 | 1-11-8499 | TX | Primary |
Addresses
Primary practice location
3630 N Josey LN
Suite 100
Carrollton, TX 75007-3159
Mailing address
3620 N. Josey Lane
Suite 210
Carrollton, TX 75007-3159
Phone (469) 892-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-11-8499 | Other | TX | BCBA LICENSE NUMBER |
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 Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy & Beyond of North Texas | 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.
-
- Developmental Disabilities Clinic/Center
- Carrollton, TX
- NPI 1831503457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1982951919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 N. JOSEY LANE",
"address_2": "SUITE 210",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750073159",
"telephone_number": "469-892-7500",
"fax_number": "469-575-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 N JOSEY LN",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750073159",
"telephone_number": "469-892-7500",
"fax_number": "469-575-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVES",
"first_name": "EDWARD",
"name_suffix": "III",
"credential": "M. ED, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-11-8499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA LICENSE NUMBER",
"identifier": "1-11-8499",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.