Active NPI
Vivianna Rae Ybanez
- Behavior Technician
- Corpus Christi, TX
National Provider Identifier
1144920489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-222978
- Practice address
- 6200 Saratoga Blvd Ste 104
Corpus Christi, TX 78414-3478 - Phone
- (361) 356-4252
- NPI assigned
- Mar 6, 2023
- 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 | 22-222978 | TX | Primary |
Addresses
Primary practice location
6200 Saratoga Blvd Ste 104
Corpus Christi, TX 78414-3478
Mailing address
419 Rabbit Run Rd
Aransas Pass, TX 78336-3030
Phone (361) 492-0297
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 |
|---|---|---|---|
| 22-222978 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1144920489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 RABBIT RUN RD",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783363030",
"telephone_number": "361-492-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SARATOGA BLVD STE 104",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784143478",
"telephone_number": "361-356-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBANEZ",
"first_name": "VIVIANNA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "22-222978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.