Active NPI
Julia Clemons, RBT
- Behavior Technician
- Pearland, TX
National Provider Identifier
1144856337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-102331
- Practice address
- 2913 Old Chocolate Bayou Rd # a
Pearland, TX 77584-8996 - Phone
- (832) 632-2177
- NPI assigned
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | RBT-19-102331 | TX | Primary |
Addresses
Primary practice location
2913 Old Chocolate Bayou Rd # a
Pearland, TX 77584-8996
Mailing address
2913 Old Chocolate Bayou Rd # a
Pearland, TX 77584-8996
Phone (832) 632-2177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-102331 | Other | TX | RBT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Sharefile |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-102331 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reason for Hope Bellaire | Single Specialty | Current | Accepting new patients |
| God Is Good, Inc. | Single Specialty | Past | Accepting new patients |
Locations
2913 Old Chocolate Bayou Rd
Ste A
Pearland, TX 77584
Phone (832) 632-2177
Organizations & group practices 2
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": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1144856337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 OLD CHOCOLATE BAYOU RD # A",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848996",
"telephone_number": "832-632-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2913 OLD CHOCOLATE BAYOU RD # A",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848996",
"telephone_number": "832-632-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "JULIA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-19-102331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-19-102331",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Sharefile",
"affiliation": "N",
"address_1": "2913 Old Chocolate Bayou Rd # A",
"city": "Pearland",
"state": "TX",
"country_code": "US",
"postal_code": "775848996",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.