Individual provider Active NPI

Marianna Robles, RBT

  • Behavior Analyst
  • Harker Heights, TX
National Provider Identifier
1144853367
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5703 Issued in TX
Practice address
400 Nola Ruth Blvd
Harker Heights, TX 76548-1549
Phone
(512) 800-2961
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 5703 TX Primary

Addresses

Primary practice location

400 Nola Ruth Blvd
Harker Heights, TX 76548-1549

Mailing address

400 Nola Ruth Blvd
Harker Heights, TX 76548-1549

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stablelifeconcepts

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

State licenses

LicenseStateTypeSpecialty
5703TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor'S Place LLC Behavior Analyst CurrentSince Feb 23, 2020 Accepting new patients

Locations

400 Nola Ruth Blvd
Harker Heights, TX 76548
Phone (254) 449-1405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1144853367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NOLA RUTH BLVD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NOLA RUTH BLVD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481549",
            "telephone_number": "512-800-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MARIANNA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stablelifeconcepts",
            "affiliation": "N",
            "address_1": "400 Nola Ruth Blvd",
            "city": "Harker Heights",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765481549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.