Active NPI
Roberta Cordell, MED, BCBA, LBA
- Behavior Analyst
- Austin, TX
National Provider Identifier
1154750438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2133
- Practice address
- 13405 Saddle Back Pass
Austin, TX 78738-2354 - Phone
- (512) 962-5543
- Fax
- (512) 504-3777
- NPI assigned
- Nov 6, 2013
- 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 Analyst | 103K00000X | 2133 | TX | Primary |
Addresses
Primary practice location
13405 Saddle Back Pass
Austin, TX 78738-2354
Mailing address
13405 Saddle Back Pass
Austin, TX 78738
Phone (512) 962-5543
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2133 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683417600000",
"number": "1154750438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13405 SADDLE BACK PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78738",
"telephone_number": "512-962-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13405 SADDLE BACK PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787382354",
"telephone_number": "512-962-5543",
"fax_number": "512-504-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDELL",
"first_name": "ROBERTA",
"name_prefix": "Ms.",
"credential": "MED, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2023-05-07",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "2133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.