Stephanie Chagoya

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-194338 Issued in TX

Practice address

12 Chisholm Trail Rd Ste 100
Round Rock, TX 78681-2506

Phone

(512) 341-9991

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Round Rock Children's Therapy Center

  • Speech-Language Pathologist
  • Round Rock, TX
  • NPI 1346595394
  NPD (past)

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1093453235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHISHOLM TRAIL RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812502",
            "telephone_number": "512-341-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHISHOLM TRAIL RD STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812506",
            "telephone_number": "512-341-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGOYA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-21-194338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Tox, LLC
• Liezet Alexis Cepeda, M.D.
• Kelsey Cerruto, PSYD
• Danielle Cervenka
• Tammis A Chadwell, M.ED., M.S. CCC-SLP
• Anna Chainaranont, MD
• Chandana Thatikonda Chakka, MD
• Satya Sree Chalasani, M.D.
• Aimie Chalifour, RBT
• Madhuri Challa, RBT

• Behavior Technician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.