Providence Lively , BCBA, LBA
Behavior Analyst • Irving, TX
400 E Royal Ln Ste 290
Irving, TX 750393602
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
400 E Royal Ln Ste 290
Irving, TX 750393602
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 5 distinct additional practice-address records in Abilene, TX; Edmond, OK; Georgetown, TX and 2 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Behavior Analyst: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Irving and Texas
132 active clinicians are listed under Behavior Analyst with a practice address in Irving, TX (5,843 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Irving
0% of these 132 clinicians have the CMS telehealth indicator.
0% of these 132 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-02-20NUCC 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.
NUCC Taxonomy Code: 106E00000X
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
Career & Practice History
NPI enumerated March 15, 2022.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from April 2022 to August 2026.
NPI Administrative Meta
Mailing Address
7108 S Kanner Hwy
Stuart, FL 349977462
Phone: 8558326727