Active NPI
Teresa Davis, RBT
- Behavior Technician
- Fort Worth, TX
National Provider Identifier
1144803412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-161514
- Practice address
- 4775 North Fwy
Fort Worth, TX 76106-2315 - Phone
- (817) 740-8700
- NPI assigned
- May 4, 2021
- Last updated
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 21-161514 | NU | Primary |
Addresses
Primary practice location
4775 North Fwy
Fort Worth, TX 76106-2315
Mailing address
4775 North Fwy
Fort Worth, TX 76106-2315
Phone (817) 740-8700
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Hands Big Hearts Pediatric Therapy Management Inc | Current | Accepting new patients |
Locations
4775 North Fwy
Fort Worth, TX 76106
Phone (682) 738-3056
Organizations & group practices 1
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.
-
- Home Health Agency
- Fort Worth, TX
- NPI 1992012660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1144803412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 NORTH FWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761062315",
"telephone_number": "817-740-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 NORTH FWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761062315",
"telephone_number": "817-740-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TERESA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": "21-161514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.