ANDRIA WYATT (NPI# 1134768443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134768443 |
| Entity Type | Individual |
| Full Name | ANDRIA WYATT |
| Credential | BCBA, LBA |
| Practice Address |
11661 Preston Rd Dallas TX 75230-2745 |
| Practice Telephone | 2142518757 |
| Mailing Telephone | 6052206734 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 3301 | TX | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Glendalough Ct, Tyrone, GA 302902942 | 6786260557 |
| Street Address |
11661 PRESTON RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760479760 | Southwest Sports & Spine, LLP | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2005-10-04 |
| 1679013494 | Cvs Aoc Services, L.L.C. | Audiologist | 11661 Preston Rd, Suite 218, Dallas, TX 75230-2745 | 2017-02-27 |
| 1851833248 | Frances Jameson | Nurse Practitioner | 11661 Preston Rd, Ste 218, Dallas, TX 75230-2745 | 2016-11-16 |
| 1992159677 | Natalie Crain | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2016-04-19 |
| 1447652094 | Louise Wolgat Polanco | Physical Therapist | 11661 Preston Rd, 173, Dallas, TX 75230-2745 | 2014-09-25 |
| 1275883910 | Acupuncture Center of Dallas Inc | Acupuncturist | 11661 Preston Rd, #170, Dallas, TX 75230-7012 | 2012-09-10 |
| 1891928891 | Diana Mendoza | Physician Assistant | 11661 Preston Rd, Suite 218, Dallas, TX 75230-2745 | 2009-08-25 |
| 1609010198 | Wholistic Herbs Inc. | Acupuncturist | 11661 Preston Rd, 170, Dallas, TX 75230-2745 | 2009-04-28 |
| 1083853832 | Preston Forest Family Clinic, P.a. | Family Medicine | 11661 Preston Rd, Suite 124, Dallas, TX 75230-2745 | 2009-02-17 |
| 1750548251 | Zachary Keller | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| 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 |
|---|---|---|---|---|
| 1003432246 | Howdy Pediatrics, LLC | Behavioral Analyst | 539 W Commerce St Ste 608, Dallas, TX 75208-1953 | 2020-06-23 |
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1861027757 | Penny and Sparrow, LLC | Behavioral Analyst | 806 W Five Mile Pkwy, Dallas, TX 75224-4913 | 2020-03-11 |
| 1710528039 | Mindcolor Autism Texas LLC | Behavioral Analyst | 11816 Inwood Rd # 3149, Dallas, TX 75244-8011 | 2019-10-08 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1467961474 | Katelyn Marie Butler | Behavioral Analyst | 727 Blackberry Run Trl, Dallas, GA 30132-2129 | 2017-09-21 |
| 1205368354 | Maud Dogoe Ankudey | Behavioral Analyst | 1330 River Bend Dr, 100, Dallas, TX 75247-6945 | 2017-03-29 |
| 1649728718 | Corrinne Mercer | Behavioral Analyst | 11008 Glen Echo Ct, Dallas, TX 75238-3731 | 2016-09-16 |
| 1962955831 | Elizabeth Dukes | Behavioral Analyst | 2990 Blackburn St Apt 2132, Dallas, TX 75204-3119 | 2016-07-27 |
| Find all providers in DALLAS | ||||
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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.