Active NPI
Tanesia Fisher, RBT
- Behavior Technician
- League City, TX
National Provider Identifier
1164058384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-17984
- 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
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-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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-17984 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reason for Hope Bellaire | Current | Accepting new patients | |
| God Is Good, Inc. | 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.
-
- Behavior Analyst
- Bellaire, TX
- NPI 1205552601
-
- Behavior Analyst
- League City, TX
- NPI 1881995058
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.