Rebecca Elise Collins, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5309 Issued in TX

Practice address

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

Phone

(512) 341-9991

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1124758842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHISHOLM TRAIL RD STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812506",
            "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": "COLLINS",
        "first_name": "REBECCA",
        "middle_name": "ELISE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "5309",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "192019",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Ayn Soreta Collano, PT, DPT
• Keisha Lisette Colley
• Collins Counseling LLC
• Kenneth Leo Collins, MS, LPC
• Kristin Michelle Collins, PA-C
• Thomas Collins, M.A., LPC
• Samantha Elaine Collinsworth, MSN, APRN, FNP-C
• Kymberly Tsai Colman, MD
• Comfort Health Provider LLC
• Community Action, Inc. of Hays, Caldwell, and Blanco Counties

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

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