Provider Demographics
NPI:1134914450
Name:BELL, DERRON (BCBA)
Entity type:Individual
Prefix:
First Name:DERRON
Middle Name:
Last Name:BELL
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 LYNDON B JOHNSON FWY STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6179
Mailing Address - Country:US
Mailing Address - Phone:214-240-0066
Mailing Address - Fax:972-884-0690
Practice Address - Street 1:4901 LYNDON B JOHNSON FWY STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-6179
Practice Address - Country:US
Practice Address - Phone:214-240-0066
Practice Address - Fax:972-884-0690
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8304103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst