Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Providence Lively, BCBA, LBA

Individual provider Assistant Behavior Analyst · NPI 1629726948

Providence Lively, BCBA, LBA is an Assistant Behavior Analyst in Irving, Texas. Practices as a sole proprietor and works from 6 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

400 E Royal Ln Ste 290
Irving, TX 75039-3602
Phone: (855) 832-6727
Fax: (772) 675-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 16538 N May Ave, Edmond, OK 73012-9007 — (405) 265-9208
  • 146 Sw 134th St, Moore, OK 73170-1488 — (405) 285-9324
  • 3301 N 3rd St, Abilene, TX 79603-7054 — (855) 832-6727
  • 600 Arabian Colt Dr, Georgetown, TX 78626-2354 — (855) 832-6727
  • 7215 Bosque Blvd, Waco, TX 76710-4020 — (855) 832-6727

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 1-19-39960 (TX)

Record details

NPI number1629726948
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA , LBA
Sole proprietorYes
NPI enumeratedMarch 15, 2022
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

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