Individual provider Active NPI

Dessinie Weaver Gutierrez, BCBA

  • Behavior Analyst
  • New Braunfels, TX
National Provider Identifier
1033628748
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27732
Practice address
790 Generations Dr Ste 300
New Braunfels, TX 78130-0310
Phone
(210) 336-1524
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-27732 Primary

Addresses

Primary practice location

790 Generations Dr Ste 300
New Braunfels, TX 78130-0310

Mailing address

3100 Premier Drive
Suite #234
Irving, TX 75063
Phone (940) 300-7606

Other identifiers 1

IdentifierTypeStateIssuer
1-17-27732OtherBACB

Other names 1

  • Dessinie Weaver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Action Behavior Centers Therapy LLC Behavior Analyst Past Accepting new patients
Monarch Behavioral Therapy Bii, LLC Behavior Analyst PastSince Nov 3, 2024 Accepting new patients
Action Behavior Centers, LLC Behavior Analyst PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1033628748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PREMIER DRIVE",
            "address_2": "SUITE #234",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "940-300-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300310",
            "telephone_number": "210-336-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DESSINIE",
        "middle_name": "WEAVER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-27732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-17-27732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESSINIE",
            "last_name": "WEAVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.