Brenda Enid Roman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119

Phone

(254) 630-1578

Fax

(254) 267-1091

NPI assigned

Feb 24, 2022

Last updated

Feb 24, 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 2

Addresses

Other names 1

• Brenda Enid Vega Rivera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ayala's Therapist

  dba Autism Behavior Support

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1013678986
  NPD

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1104572437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496119",
            "telephone_number": "254-630-1578",
            "fax_number": "254-267-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496119",
            "telephone_number": "254-630-1578",
            "fax_number": "254-267-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "BRENDA",
        "middle_name": "ENID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-204112",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "VEGA RIVERA",
            "middle_name": "ENID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Rogers, B.C.A.B.A.
• Rohini Singh 2 DMD PLLC
• Rohini Singh DMD PLLC
• Tiffany Rohrs
• Nevaeh Monique Rojo
• Marianne Mitsuko Roman
• Marisa Romero-Rodriguez
• Marilyn Ivette Romero
• Darlene Juliene Romious
• Kimberly Sue Rood, LPC, NCC, LCDC-CI

• Behavior Technician in Killeen, TX
• Providers in Killeen, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.