Social Kids LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOCIAL KIDS LLC

Practice address

2120 Mistletoe Blvd
Suite 3a
Fort Worth, TX 76110-1175

Phone

(817) 821-8893

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Peden

Title

Executive Director

Phone

(817) 821-8893

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1992236558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MISTLETOE BLVD",
            "address_2": "SUITE 3A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101175",
            "telephone_number": "817-821-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MISTLETOE BLVD",
            "address_2": "SUITE 3A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101175",
            "telephone_number": "817-821-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "PEDEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-821-8893",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Amelia Lynn Snyder, LPC
• Jeffrey Scott Snyder, O.D.
• Nichole J Snyder, D.C.
• Raina Dee Sobarzo
• Sober by Grace, Inc.
• Social Soul Therapy PLLC
• Social Thinking North Texas
• J'la S Sockwell, RN
• Abigail Joy Soderdahl, PA-C
• Soft Touch Courier LLC Dba Stick & Move

• Behavior Analyst in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.