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Deactivated NPI 1598238701 Deactivated / Inactive NPI Male Practitioner

Sereyvuth Kheang

Behavior Analyst • Stafford, 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, Sereyvuth Kheang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2019
NPI Deactivation Date November 14, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Sereyvuth Kheang was a registered Behavior Analyst practicing in Stafford, TX. Throughout an active medical career spanning 3 years, Sereyvuth Kheang provided care at the practice location at 10435 GREENBOUGH DR STE 410 until profile deactivation on 2022-11-14.

Practice Location & Contact Primary Location

Practice Address

10435 Greenbough Dr Ste 410

Stafford, TX 774775000

Telephone 8325397246

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Stafford, TX

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

Practicing in Stafford, 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

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Megan Moran

Behavior Technician

NPI 1023640315
Sabrina Gonzales-Smith

Behavior Analyst

NPI 1033763594
Andrea Perez

Behavior Technician

NPI 1114796497
Brandy Parker

Behavior Technician

NPI 1124899463
Emersai Glass

Behavior Technician

NPI 1144959545
Susan Odong

Behavior Technician

NPI 1154195840

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 14, 2022

Record deactivated on November 14, 2022

NPI Profile Active January 10, 2019

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2019

Registered at 10435 GREENBOUGH DR STE 410, STAFFORD, TX 774775000 (Tel: 8325397246)

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Updated Business Mailing Address January 10, 2019

Registered at 9411 PURITAN WAY, ROSHARON, TX 775834848 (Tel: 8324880204)

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Provider Name / Credentials Updated January 10, 2019

Recorded as SEREYVUTH KHEANG

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2019

Behavior Analyst

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Initial NPI Registration & Enumeration January 10, 2019

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: 1598238701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2019
Last Update: January 10, 2019
Deactivation Date: November 14, 2022

Mailing Address

9411 Puritan Way

Rosharon, TX 775834848

Phone: 8324880204

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.