Individual provider Active NPI

Tanesia Fisher, RBT

  • Behavior Technician
  • League City, TX
National Provider Identifier
1164058384
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-17984 Issued in TX
Practice address
1860 W Main St
League City, TX 77573-3549
Phone
(832) 632-2664
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-17984 TX Primary

Addresses

Primary practice location

1860 W Main St
League City, TX 77573-3549

Mailing address

2913 Old Chocolate Bayou Rd # a
Pearland, TX 77584-8996
Phone (832) 632-2177

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
RBT-16-17984TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Reason for Hope Bellaire CurrentSince Oct 23, 2022 Accepting new patients
God Is Good, Inc. PastSince Mar 22, 2020 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": "1164058384",
    "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": "1860 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733549",
            "telephone_number": "832-632-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TANESIA",
        "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": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-16-17984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, 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.

Verify at the official NPI Registry.