Individual provider Active NPI

Deisy Bourgeois Hernandez

  • Behavior Analyst
  • Leander, TX
National Provider Identifier
1235864489
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
8606 Issued in TX
Practice address
1228 Oak Chase Way
Leander, TX 78641-5061
Phone
(512) 920-9473
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 8606 TX Primary

Addresses

Primary practice location

1228 Oak Chase Way
Leander, TX 78641-5061

Mailing address

1228 Oak Chase Way
Leander, TX 78641-5061
Phone (512) 920-9473

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Deisybourgeois@gmail.com Direct

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
8606TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1235864489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 OAK CHASE WAY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415061",
            "telephone_number": "512-920-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 OAK CHASE WAY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415061",
            "telephone_number": "512-920-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS HERNANDEZ",
        "first_name": "DEISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "8606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Deisybourgeois@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1228 Oak Chase Way",
            "city": "Leander",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786415061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.