Active NPI
Andrea Isabel De Jesus
- Behavior Technician
- Fort Worth, TX
National Provider Identifier
1285543330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-406498
- Practice address
- 4917 Golden Triangle Blvd Ste 421
Fort Worth, TX 76244-4673 - Phone
- (817) 754-4938
- Fax
- (817) 717-8584
- NPI assigned
- Sep 3, 2026
- 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-25-406498 | TX | Primary |
Addresses
Primary practice location
4917 Golden Triangle Blvd Ste 421
Fort Worth, TX 76244-4673
Mailing address
8740 Maple Ridge TRL
Fort Worth, TX 76244-1248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1285543330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8740 MAPLE RIDGE TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762441248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4917 GOLDEN TRIANGLE BLVD STE 421",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444673",
"telephone_number": "817-754-4938",
"fax_number": "817-717-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "ANDREA",
"middle_name": "ISABEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-25-406498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Brian Charles Dayton, DDS
- DC Dental Associates of Fort Worth PLLC
- Moneta B De Castro, MD
- Joy Jereza De Guzman, FNP-BC
- Kevin Rafael De Jesus Morales, MD
- Maria Audrie De Jesus, MD
- Margaret Hines De Koning, CRNA
- Luz Gabriela De la Cruz Ramirez, RD
- Imelda De la Cruz, LCSW
- Veronica De la Cruz, MS CCC SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.