AUTISM BEHAVIOR SUPPORT, LLC (NPI# 1083244958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083244958 |
| Entity Type | Organization |
| Organization Name | AUTISM BEHAVIOR SUPPORT, LLC |
| Other Organization Name | MARY AYALA |
| Practice Address |
4003 W Stan Schlueter Loop Ste 3 Killeen TX 76549-6120 |
| Mailing Address |
5212 Allegany Dr Killeen TX 76549-5648 |
| Practice Telephone | 7193522970 |
| Practice Fax Number | 2542671091 |
| Mailing Telephone | 7193522970 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MARY C AYALA (OWNER) |
| Authorized Official Telephone | 7193522970 |
| Authorized Official Credential | BCBA, LBA |
| Is Organization Subpart | N |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | TRICARE | 01 |
| Other Name | Type Code |
|---|---|
| Mary Ayala | Doing Business As Name - Organization |
| Street Address |
4003 W STAN SCHLUETER LOOP STE 3 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-6120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396906 | Mary Ayala | Behavioral Analyst | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2017-03-02 |
| 1275133852 | Xiomara Falero | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-10-31 |
| 1679172985 | Laurie Nguyen | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-10-19 |
| 1811595515 | Shauntrice Woodberry | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-10-14 |
| 1841806825 | Jon Michael Stange | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-09-16 |
| 1144835695 | Kelsey Foster | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-09-11 |
| 1457962094 | Krishuna Averett | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-08-16 |
| 1750991170 | Helena Aken | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-08-01 |
| 1972111243 | Ashley Bosque Velez | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-07-22 |
| 1477161958 | Tiffany Salgado | Behavior Technician | 4003 W Stan Schlueter Loop Ste 3, Killeen, TX 76549-6120 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030153 | Elizabeth Butler | Behavioral Analyst | 3901 E Stan Schlueter Loop Ste 103, Killeen, TX 76542-4554 | 2020-07-06 |
| 1790324861 | Mikayela Cheyenne Delve | Behavioral Analyst | 3106 S W S Young Dr # B240, Killeen, TX 76542-2000 | 2020-01-06 |
| 1013555929 | Marteka Daniels | Behavioral Analyst | 3106 S W S Young Dr Ste B-204, Killeen, TX 76542-2000 | 2019-12-11 |
| 1639730294 | Tri-city Autism Center, LLC | Behavioral Analyst | 1711 E Central Texas Expy Ste 304, Killeen, TX 76541-9147 | 2019-06-25 |
| 1508327438 | Melissa Torres | Behavioral Analyst | 2904 E Stan Schlueter Loop # 70, Killeen, TX 76542-4813 | 2019-03-25 |
| 1518448992 | Lizbetthe Rodriguez | Behavioral Analyst | 1700 E Central Texas Expy, Killeen, TX 76541-9115 | 2018-08-24 |
| 1306335781 | Tienecka Marie Britton | Behavioral Analyst | 1711 E Central Texas Expy Ste 300, Killeen, TX 76541-9147 | 2018-05-01 |
| 1033627773 | Jennifer Pless | Behavioral Analyst | 4201 Old Florence Rd, Killeen, TX 76542-6672 | 2018-01-16 |
| 1699286161 | Meghan Nicole Nauck | Behavioral Analyst | 3106 S W S Young Dr Ste 105, Killeen, TX 76542-2007 | 2017-10-23 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| Find all providers in KILLEEN | ||||
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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.