SOCIAL KIDS LLC


Address: 2120 Mistletoe Blvd, Suite 3a, Fort Worth, TX 76110-1175
Phone: 8178218893

SOCIAL KIDS LLC (NPI# 1992236558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992236558
Entity Type Organization
Organization Name SOCIAL KIDS LLC
Practice Address 2120 Mistletoe Blvd
Suite 3a
Fort Worth
TX 76110-1175
Practice Telephone 8178218893
Mailing Telephone 8178218893
Enumeration Date 2017-03-24
Last Update Date 2017-03-24
Authorized Official Name MS. WENDY PEDEN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8178218893
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 2120 MISTLETOE BLVD
SUITE 3A
City FORT WORTH
State TX
Zip Code 76110-1175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336113208 Sherrill L Auman Anesthesiology 2120 Mistletoe Blvd, Suite #2, Fort Worth, TX 76110-1175 2006-02-15
1215387808 Spectrum Support Center, LLC Behavioral Analyst 2120 Mistletoe Blvd, Suite 3, Fort Worth, TX 76110-1174 2016-06-15

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

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NPI Name Taxonomy Address Enumeration
1760094114 Jennifer Brown Behavioral Analyst 4159 Sarasota Springs Ct, Fort Worth, TX 76123-1465 2020-08-18
1467076349 Kaitlyn Leigh Steiner Behavioral Analyst 2790 Keller Hicks Rd, Fort Worth, TX 76244-9610 2020-06-05
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1952934234 Peace By Piece Therapy LLC Behavioral Analyst 1805 Velarde Rd, Fort Worth, TX 76131-2534 2020-02-14
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1437790102 Tanya Danielle Corza Behavioral Analyst 2932 Sawtimber Trl, Fort Worth, TX 76244-9404 2019-10-03
1467004861 Cara Kelso Behavioral Analyst 305 W Broadway Ave, Fort Worth, TX 76104-1238 2019-07-15
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Competitor

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City FORT WORTH
Zip Code 76110

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Dataset Information

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.

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