Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629726948 Individual Practitioner Female Practitioner

Providence Lively , BCBA, LBA

Behavior Analyst • Irving, TX

Professional Overview & Biography Verified Profile Summary

Providence Lively, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Irving, TX. Practice services are available at 400 E ROYAL LN STE 290 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 E Royal Ln Ste 290

Irving, TX 750393602

Telephone 8558326727
Fax 7726759100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Irving, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
132 Specialists

Practicing in Irving, TX (5867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License TX 1-19-39960

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Secondary Practice Locations

600 Arabian Colt Dr

Georgetown, TX 786262354

Phone: 8558326727

7215 Bosque Blvd

Waco, TX 767104020

Phone: 8558326727

3301 N 3rd St

Abilene, TX 796037054

Phone: 8558326727

16538 N May Ave

Edmond, OK 730129007

Phone: 4052659208

146 Sw 134th St

Moore, OK 731701488

Phone: 4052859324

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Korie Hendrix

Behavior Analyst

NPI 1003103987
NPI 1003125576

Board Certified Behavior Analyst

Ana Reyes

Technician, Other

NPI 1003203241
Josephine Potter

Technician, Other

NPI 1003205220
Larhonda Callier

Technician, Other

NPI 1003207721
Maria Zelaya Castillo

Technician, Other

NPI 1003216722

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 15, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2022

Registered at 400 E ROYAL LN STE 290, IRVING, TX 750393602 (Tel: 8558326727)

📍
Updated Business Mailing Address March 15, 2022

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

👤
Provider Name / Credentials Updated March 15, 2022

Recorded as PROVIDENCE LIVELY, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2022

Assistant Behavior Analyst (License #1-19-39960 in TX)

🟢
Initial NPI Registration & Enumeration March 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629726948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2022
Last Update: February 20, 2025
Sole Proprietor: Yes

Mailing Address

7108 S Kanner Hwy

Stuart, FL 349977462

Phone: 8558326727

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.