SPECTACULAR KIDS ABA THERAPY OF MISSOURI CITY (NPI# 1689043150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689043150 |
| Entity Type | Organization |
| Organization Name | SPECTACULAR KIDS ABA THERAPY OF MISSOURI CITY |
| Practice Address |
611 Rockmead Dr Ste 100 Kingwood TX 77339-2294 |
| Practice Telephone | 2817138980 |
| Practice Fax Number | 2817138938 |
| Mailing Telephone | 2817138980 |
| Mailing Fax Number | 2817138938 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | MRS. DANA HARRIS (MEMBER/CO-OWNER) |
| Authorized Official Telephone | 2817138980 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
611 ROCKMEAD DR STE 100 |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-2294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649814302 | Caitlyn Metoyer | Behavioral Analyst | 611 Rockmead Dr Ste 100, Kingwood, TX 77339-2294 | 2019-11-05 |
| 1477061828 | Hannah Elizabeth Bohannon | Behavioral Analyst | 611 Rockmead Dr Ste 100, Kingwood, TX 77339-2294 | 2018-01-19 |
| 1245772789 | Elizabeth Fajardo | Behavioral Analyst | 611 Rockmead Dr Ste 100, Kingwood, TX 77339-2294 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184158065 | The Dawn Counseling Services | Community/Behavioral Health | 700 Rockmead Dr, Kingwood, TX 77339-2103 | 2017-04-17 |
| 1659701266 | Life Journey Counseling Services | Community/Behavioral Health | 1521 Green Oak Pl, 198, Kingwood, TX 77339-2057 | 2013-11-18 |
| 1871868125 | Spectacular Kids Aba Therapy and Consulting, LLC | Community/Behavioral Health | 611 Rockmead Dr, Suite 100, Kingwood, TX 77339-2258 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982047 | Edwards Housing LLC | Community/Behavioral Health | 3119 Teodoro Dr, Grand Prairie, TX 75052-8751 | 2020-11-04 |
| 1457951972 | Allison Evans Counseling and Consulting, Pllc | Community/Behavioral Health | 1584 Seminole Dr, Forney, TX 75126-1450 | 2020-10-26 |
| 1881292738 | Actus Behavioral Support LLC | Community/Behavioral Health | 6213 Smithwick Dr, Mckinney, TX 75070-3573 | 2020-10-13 |
| 1083211387 | Crescent Behavioral Health, LLC | Community/Behavioral Health | 202 W Park Place Dr, Lancaster, TX 75134-3250 | 2020-10-08 |
| 1275130924 | Inspired Action Counseling | Community/Behavioral Health | 14914 Rockledge Dr, Cypress, TX 77429-1874 | 2020-10-06 |
| 1811594450 | Jessica Hooson, Lcsw, P.l.l.c. | Community/Behavioral Health | 516 E Slaughter Ln Apt 402, Austin, TX 78744-0052 | 2020-10-06 |
| 1376150839 | Victoria Behavioral Services Clinic LLC | Community/Behavioral Health | 16205 Westheimer Rd Ste 100, Houston, TX 77082-1207 | 2020-09-29 |
| 1952918682 | Blue Angels Therapeds, LLC | Community/Behavioral Health | 1400 Rivery Blvd Apt 4116, Georgetown, TX 78628-3041 | 2020-09-27 |
| 1659987071 | Committed 2 Me Counseling Center, LLC | Community/Behavioral Health | 105 E. Blackbourn, Hawkins, TX 75765 | 2020-09-21 |
| 1205441383 | Lei Behavioral Services, LLC | Community/Behavioral Health | 6201 Bonhomme Rd # She266n, Houston, TX 77036-4365 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.