Malik Pride, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-82642 Issued in TX

Practice address

570 Heimer Rd
San Antonio, TX 78232-5160

Phone

(210) 885-3481

Fax

(210) 504-5084

NPI assigned

Oct 6, 2021

Sex

Male

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 and National Provider Directory roles.

• Jawanda Newsome ABA and Behavioral Services, LLC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1588994859
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1104588292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 HEIMER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325160",
            "telephone_number": "210-885-3481",
            "fax_number": "210-504-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 HEIMER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325160",
            "telephone_number": "210-885-3481",
            "fax_number": "210-504-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDE",
        "first_name": "MALIK",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-82642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Frederick Price, FNP
• Colby Prichard, SLP-CCC
• Pride Health Care Services Inc.
• Pride PHC Services Inc
• Denise Lyn Pride, MD
• Priestleys Divine Connection
• Marie Priestly, LPC
• Ami Prieto, RN
• Bernadino Prieto
• Elias Mateo Prieto, M.D.

• Behavior Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.