Individual provider Active NPI

Nicholas Lee, BCBA

  • Behavior Analyst
  • Pearland, TX
National Provider Identifier
1992396576
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-73218 Issued in TX
Practice address
8540 Broadway St Ste 102
Pearland, TX 77584-7710
Phone
(346) 200-5618
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X 1997546 TX
Behavior Analyst 103K00000X 1-24-73218 TX Primary

Addresses

Primary practice location

8540 Broadway St Ste 102
Pearland, TX 77584-7710

Mailing address

6914 Brisbane CT Ste 200
Sugar Land, TX 77479-4924
Phone (346) 200-5618

Other practice location 1

4818 E Sam Houston Pkwy N
Houston, TX 77015-3240
Phone (713) 773-5110

Other practice location 2

7435 Highway 6 Ste F
Missouri City, TX 77459-5135
Phone (281) 713-8980

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

LicenseStateTypeSpecialty
1997546TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectacular Kids ABA Therapy of Missouri City Behavior Analyst CurrentSince Sep 25, 2022 Accepting new patients

Locations

7435 Highway 6
Ste F
Missouri City, TX 77459
Phone (281) 713-8980

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.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1992396576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 BRISBANE CT STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794924",
            "telephone_number": "346-200-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BROADWAY ST STE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847710",
            "telephone_number": "346-200-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4818 E Sam Houston Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770153240",
            "country_code": "US",
            "telephone_number": "713-773-5110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7435 Highway 6 Ste F",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774595135",
            "country_code": "US",
            "telephone_number": "281-713-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "NICHOLAS",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "1997546",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-24-73218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.