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Deactivated NPI 1669982716 Deactivated / Inactive NPI Male Practitioner

Nicholas Stark

Behavior Technician • Killeen, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicholas Stark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2017
NPI Deactivation Date September 26, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Nicholas Stark was a registered Behavior Technician practicing in Killeen, TX. Throughout an active medical career spanning 2 years, Nicholas Stark provided care at the practice location at 1020 TRIMMIER RD until profile deactivation on 2019-09-26.

Practice Location & Contact Primary Location

Practice Address

1020 Trimmier Rd

Killeen, TX 765418029

Telephone 2547600494
Associated Practice Facility / Clinic
🏢 Barr Physical Therapy, P.c. Facility NPI 1063769685

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Killeen, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
662 Specialists

Practicing in Killeen, TX (25246 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

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

35 Associated Practitioners
Kristin Tindell , BCBA

Counselor - Professional

NPI 1043548829

Board Certified Behavior Analyst

Brian Scott

Behavior Technician

NPI 1043736267
Amanda Elliott , BCBA

Behavior Analyst

NPI 1073964748

Board Certified Behavior Analyst

Jessica Gresham

Behavior Technician

NPI 1104342302
Karaeah Roberts

Behavior Technician

NPI 1144746504
Jerri Whitener

Behavior Analyst

NPI 1215453436

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated September 26, 2019

Record deactivated on September 26, 2019

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2017

Registered at 1020 TRIMMIER RD, KILLEEN, TX 765418029 (Tel: 2547600494)

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Updated Business Mailing Address October 03, 2017

Registered at 1020 TRIMMIER RD, KILLEEN, TX 765418029 (Tel: 2547600494)

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Provider Name / Credentials Updated October 03, 2017

Recorded as NICHOLAS STARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Behavior Technician

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Initial NPI Registration & Enumeration October 03, 2017

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: 1669982716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2017
Last Update: October 03, 2017
Deactivation Date: September 26, 2019

Mailing Address

1020 Trimmier Rd

Killeen, TX 765418029

Phone: 2547600494

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.