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Charllynnetta Busby , BCBA

Behavior Analyst β€’ Waco, TX

Active NPI 1023588829 Individual Practitioner Female Practitioner
Practice location in NPPES

110 S 12th St
Waco, TX 767011810

Call 2547523451 Location details and other listings
Medical Disclaimer

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

Practice Address

110 S 12th St

Waco, TX 767011810

Telephone 2547523451
Organization at the Same NPPES Address or Phone
Heart Of Texas Region Mhmr Facility NPI 1558382515

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Waco and Texas

39 active clinicians are listed under Behavior Analyst with a practice address in Waco, TX (5,843 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waco

0% of these 39 clinicians have the CMS telehealth indicator.

0% of these 39 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES TX 4602

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Shamji Badhiwala , MD

Psychiatry & Neurology - Psychiatry

NPI 1700841251

Doctor of Medicine (M.D.)

Dr. David Beyer , MD

Psychiatry & Neurology - Psychiatry

NPI 1972728764

Doctor of Medicine (M.D.)

Chelsea Kramer

Social Worker - Clinical

NPI 1053828681
John Mccoy , RN, MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1184189110

Registered Nurse, Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Shanna Rogers , LCSW

Social Worker - Clinical

NPI 1205325305

Licensed Clinical Social Worker

Diana Williford , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497535967

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location September 05, 2023

Registered at 110 S 12TH ST, WACO, TX 767011810 (Tel: 2547523451)

πŸ“
Updated Business Mailing Address September 05, 2023

Registered at 110 S 12TH ST, WACO, TX 767011810 (Tel: 2547523451)

πŸ“
Updated Practice Location January 19, 2022

Registered at 1305 W MAGNOLIA AVE STE A, FORT WORTH, TX 761044345 (Tel: 8176019736)

πŸ“
Updated Business Mailing Address January 19, 2022

Registered at 1305 W MAGNOLIA AVE STE A, FORT WORTH, TX 761044345 (Tel: 8176019736)

πŸ‘€
Provider Name / Credentials Updated January 19, 2022

Recorded as CHARLLYNNETTA BUSBY, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2022

Behavior Analyst (license number reported to NPPES: TX 4602)

βœ…
NPI Profile Active December 05, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 05, 2018

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

πŸ“
Business Mailing Address (Initial Record) December 05, 2018

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803

πŸ‘€
Provider Name / Credentials (Initial Record) December 05, 2018

Recorded as CHARLLYNNETTA BUSBY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration December 05, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023588829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2018
Last Update: September 05, 2023
Sole Proprietor: No

Mailing Address

110 S 12th St

Waco, TX 767011810

Phone: 2547523451

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.