Active NPI
Innocent Brendan Usoro
- Behavior Technician
- Houston, TX
National Provider Identifier
1043974199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12202 Dover St
Houston, TX 77031-2826 - Phone
- (713) 498-6409
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
12202 Dover St
Houston, TX 77031-2826
Mailing address
12603 Southwest Fwy Ste 695
Stafford, TX 77477-3838
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 3invest30@gmail.com | ||
| CONNECT URL | Servers | Other |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Stars ABA, Inc. | Behavior Analyst | Current | Accepting new patients |
| Raising Star Transportation Inc | Current | Accepting new patients |
Locations
12603 Southwest Fwy
Ste 695
Stafford, TX 77477
Phone (832) 318-5145
Organizations & group practices 2
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.
-
- Secured Medical Transport (VAN)
- Houston, TX
- NPI 1114704046
-
- Behavior Analyst
- Sugar Land, TX
- NPI 1306582424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1043974199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12603 SOUTHWEST FWY STE 695",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12202 DOVER ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770312826",
"telephone_number": "713-498-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USORO",
"first_name": "INNOCENT",
"middle_name": "BRENDAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "3invest30@gmail.com",
"affiliation": "N",
"address_1": "12603 Southwest Fwy Ste 695",
"city": "Stafford",
"state": "TX",
"country_code": "US",
"postal_code": "774773838",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Servers",
"affiliation": "N",
"endpointDescription": "Tablets, desktops, laptops",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Communication",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12603 Southwest Fwy Ste 695",
"city": "Stafford",
"state": "TX",
"country_code": "US",
"postal_code": "774773838",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.