MEDICARE: BAILEY TUBBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1952858268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY TUBBS

Provider Business Mailing Address
First Line	:	7500 SAN FELIPE ST STE 990
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1708
Country	:	US
Telephone Number	:	281-826-3382
Fax Number	:	425-491-7683

Provider Business Practice Location Address
First Line	:	19201 E VALLEY VIEW PKWY STE H
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-6913
Country	:	US
Telephone Number	:	816-474-3995
Fax Number	:	816-482-3802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2016
Last Update Date	:	02/21/2025

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Directions to “ BAILEY TUBBS ” Practice Location

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