NPI
Providence Lively
NPI 1629726948
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- BCBA, LBA
- Type
- Individual
- Enumeration date
- 2022-03-15
- Last updated
- 2025-02-20
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Specialties
Licenses
- License TX
- 1-19-39960
Location
- Practice location
- 400 E Royal Ln Ste 290
- City
- Irving TX
- Postal code
- 75039-3602
- Phone
- (855) 832-6727
- Fax
- (772) 675-9100
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Behavior Analyst providers in Irving, TX. 143 with this primary taxonomy in the public file.
Other NPIs in Irving, TX. 5,340 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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