Desiree Bustos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1051 Pineloch Dr Ste 400
Houston, TX 77062-2739

Phone

(281) 461-6888

Fax

(866) 237-5824

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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 TLC, Inc.

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1407159205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1194489989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622739",
            "telephone_number": "281-461-6888",
            "fax_number": "866-237-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622739",
            "telephone_number": "281-461-6888",
            "fax_number": "866-237-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@behaviortlc.com",
            "affiliation": "N",
            "address_1": "1051 Pineloch Dr Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770622739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pedro Manuel Bustamante IV, MD
• Richard Lee Bustamante, DNP, APRN, AGACNP-BC
• Nadwa Basem Bustami, MD
• Carisa Wilson Bustillos-Givens, LPC
• Robert Alexander Busto, D.M.D.
• Diana Bustos, RN
• Juan C Bustos, M.D.
• Shila Bustos
• Corina Adela Busuioc, O.D.
• Busybody Fitness & Rehab, PLLC

• All providers in Houston, TX
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.