TELISHA D KIRTDOLL
NPI 1568140457
Behavior Technician in Dallas, TX

Active since July 10, 2023PECOS EnrolledAccepts Medicare Assignment
6538 COMPASS RIDGE DR, DALLAS, TX 75249(972) 290-9762 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Telisha D Kirtdoll NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELISHA D KIRTDOLL (NPI 1568140457) is an individual behavior technician in Dallas, Texas, licensed in Texas (96165) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1568140457
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameTELISHA D KIRTDOLL
Location Address6538 COMPASS RIDGE DRDallas, TX 75249-2834
Mailing Address6538 Compass Ridge DrDallas, TX 75249-2834 · (972) 290-9762
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 10, 2023
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1568140457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in TX · 96165
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
6538 COMPASS RIDGE DR, Dallas, TX 75249

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Telisha D Kirtdoll is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406323393
PECOS Enrollment IDI20260429000077
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Telisha Kirtdoll's NPI number?

The NPI number for Telisha Kirtdoll is 1568140457. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Telisha Kirtdoll located?

Telisha Kirtdoll practices at 6538 Compass Ridge Dr, Dallas, TX 75249. The listed phone number is (972) 290-9762.

What is Telisha Kirtdoll's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Is Telisha Kirtdoll enrolled in Medicare?

Yes. Telisha Kirtdoll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Telisha Kirtdoll was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.