NORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC NPI 1902463276

Behavior Analyst in Wichita Falls, TX

NPI 1902463276 Organization Behavior Analyst

About NORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC

North Texas Diagnostic Intervention Behavioral Clinic is a provider established in Wichita Falls, Texas specializing in behavior analyst. The NPI number of North Texas Diagnostic Intervention Behavioral Clinic is 1902463276 and was assigned on May 2019. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated one year ago. North Texas Diagnostic Intervention Behavioral Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Rachel Samantha Bertelson Bcba, Lba, Lpa-i Phd (Supervising Bcba, Lpa-i)

NPI

1902463276

Provider NameNORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC
Provider Location Address3501 SHEPPARD ACCESS RD WICHITA FALLS, TX 76306
Provider Mailing Address3501 SHEPPARD ACCESS RD WICHITA FALLS, TX 76306
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-22-2019
Last Update Date04-26-2021


Primary Taxonomy

Taxonomy Code103K00000X
ClassificationBehavior Analyst
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA 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.

Business Address

NORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC
3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX
ZIP 76306
Phone: (940) 447-7115

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Mailing Address

NORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC
3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX
ZIP 76306
Phone: (940) 867-7929
Fax: (940) 386-2100



Authorized Official

Authorized Official Name RACHEL SAMANTHA BERTELSON BCBA, LBA, LPA-I PHD
Authorized Official TitleSUPERVISING BCBA, LPA-I
Authorized Official Phone(940) 386-2100

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianNo

Taxonomy Description: 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.

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669705281 VANESSA MARINA WALLACE SLP
Individual
Speech-Language Pathologist3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 851-8737
1801129317 JENA LEE BROWN LD
Individual
Dietitian, Registered3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 851-8737
1598098873LIFELINE PEDIATRIC CLINICS
Organization
Clinic/Center (Rehabilitation)3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 851-7837
1699150169 KELLY GRACE
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 228-5297
1386129401 SYDNEY KATE BARTON M.ED., BCBA
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 228-5297
1679033583 GAGE RAYMOND GRACE
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 782-8397
1518213669 RACHEL S BERTLESON BACA, LBA, LPA - I
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1528647476 LAURA MICHELLE PANTER RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 224-9032
1871168104 SHAWNNA N ALLEN RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1740854066 ALEXA M TIDWELL RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1619641784 ANDREA MANKINS
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 631-7117
1104590207 JACI NICOLE NICHOLS
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1366013419 MARIA D CALVILLO RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1437721396 LISA NORIEGA RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.