Individual provider Active NPI

Tametria Mone Holmes, RBT

  • Behavior Technician
  • College Station, TX
National Provider Identifier
1073495859
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-391644 Issued in TX
Practice address
555 William D Fitch Pkwy
College Station, TX 77845-6141
Phone
(979) 314-0544
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-391644 TX Primary

Addresses

Primary practice location

555 William D Fitch Pkwy
College Station, TX 77845-6141

Mailing address

555 William D Fitch Pkwy
College Station, TX 77845-6141
Phone (979) 314-0544

Other practice location 1

3800 N LaMar Blvd Ste 200
Austin, TX 78756-0003
Phone (971) 444-5002

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

State licenses

LicenseStateTypeSpecialty
RBT-24-391644TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1073495859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WILLIAM D FITCH PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456141",
            "telephone_number": "979-314-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILLIAM D FITCH PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456141",
            "telephone_number": "979-314-0544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 N LaMar Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787560003",
            "country_code": "US",
            "telephone_number": "971-444-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TAMETRIA",
        "middle_name": "MONE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-24-391644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.