Individual provider Active NPI

Allegra Rodriguez-Trevino, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1144888124
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-57976 Issued in TX
Practice address
1407 Canyon Parke Dr
San Antonio, TX 78232-4744
Phone
(210) 388-6617
Fax
(210) 437-4981
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 17-47033 TX
Behavior Analyst 103K00000X 1-22-57976 TX Primary

Addresses

Primary practice location

1407 Canyon Parke Dr
San Antonio, TX 78232-4744

Mailing address

1407 Canyon Parke Dr
San Antonio, TX 78232-4744
Phone (210) 388-6617

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
17-47033TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Saviors LLC Behavior Analyst CurrentSince Feb 24, 2022 Accepting new patients

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1144888124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 CANYON PARKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324744",
            "telephone_number": "210-388-6617",
            "fax_number": "210-437-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 CANYON PARKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324744",
            "telephone_number": "210-388-6617",
            "fax_number": "210-437-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-TREVINO",
        "first_name": "ALLEGRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "17-47033",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-22-57976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.