Individual provider Active NPI

Allison Ruebsamen, BCBA

  • Behavior Analyst
  • Allen, TX
National Provider Identifier
1265772792
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-12-5239 Issued in TX
Practice address
915 W Exchange Pkwy Ste 100
Allen, TX 75013-7018
Phone
(214) 547-1571
NPI assigned
Feb 20, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0-12-5239 TX Primary

Addresses

Primary practice location

915 W Exchange Pkwy Ste 100
Allen, TX 75013-7018

Mailing address

2512 Ashcroft LN
Plano, TX 75025-6010

Other practice location 1

1808 Rose St
Wichita Falls, TX 76301-4219
Phone (940) 322-7488

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

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265772792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 ASHCROFT LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750256010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137018",
            "telephone_number": "214-547-1571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 Rose St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014219",
            "country_code": "US",
            "telephone_number": "940-322-7488",
            "fax_number": "940-322-3578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUEBSAMEN",
        "first_name": "ALLISON",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "0-12-5239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.