Active NPI
Anabell Regueira
- Behavior Analyst
- Fort Worth, TX
National Provider Identifier
1225529589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11728521
- Practice address
- 6747 Silver Sage Dr
Fort Worth, TX 76137-1840 - Phone
- (201) 654-2396
- NPI assigned
- May 22, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2175 | TX | |
| Behavior Analyst | 103K00000X | 11728521 | CO | Primary |
Addresses
Primary practice location
6747 Silver Sage Dr
Fort Worth, TX 76137-1840
Mailing address
6747 Silver Sage Dr
Fort Worth, TX 76137-1840
Phone (201) 654-2396
Other practice location 1
2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone (201) 654-2396
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 |
|---|---|---|---|
| 11728521 | CO | MD | Behavioral Analyst |
| 2175 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Rise ABA Therapy LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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
- Fort Worth, TX
- NPI 1881214211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1225529589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6747 SILVER SAGE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761371840",
"telephone_number": "201-654-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6747 SILVER SAGE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761371840",
"telephone_number": "201-654-2396"
}
],
"practiceLocations": [
{
"address_1": "2104 Greenbriar Dr",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760928355",
"country_code": "US",
"telephone_number": "201-654-2396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REGUEIRA",
"first_name": "ANABELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "2175",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "11728521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.