EAST TEXAS LEARNING LAB
NPI 1194591768
Behavior Analyst in Henderson, TX

NPI Status: Active since November 27, 2023

Contact Information

1504 W MAIN ST
HENDERSON, TX
ZIP 75652
Phone: (903) 918-3492

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  • Organization
  • Behavior Analyst

About EAST TEXAS LEARNING LAB

This page provides the complete NPI Profile along with additional information for East Texas Learning Lab, a provider established in Henderson, Texas operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1194591768 assigned on November 2023. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated April 2025. The provider's . The authorized official of this NPI record is Kristal Clay Ceo (Ceo/director)

NPI
1194591768
Provider Legal Name
EAST TEXAS LEARNING LAB
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1504 W MAIN ST HENDERSON, TX 75652
Location Phone
(903) 918-3492
Mailing Address
1073 COUNTY ROAD 212 E HENDERSON, TX 75652
Mailing Phone
(903) 918-3492
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2023
Last Update Date
04-30-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1252Y00000XAgencies

Early Intervention Provider Agency

 
2261QR0401XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTAL CLAY CEO

Authorized Official Title
CEO/DIRECTOR
Authorized Official Phone
(903) 918-3492

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194591768
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841092712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 0 + 9 + 2 + 7 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1194591768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851137335 KRISTAL CLAY
Individual
Behavior Technician1504 W MAIN ST
HENDERSON, TX 75652
(903) 918-3492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194591768, enumerated in the NPI registry as an "organization" on November 27, 2023

The provider is located at 1504 W Main St Henderson, Tx 75652 and the phone number is (903) 918-3492

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on November 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.