Active NPI
Nehemiah Hicks
- Behavior Technician
- Cedar Park, TX
National Provider Identifier
1306597083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-144105
- Practice address
- 2105 E Park St
Cedar Park, TX 78613-4598 - Phone
- (512) 588-1362
- Fax
- (512) 792-4834
- NPI assigned
- Jan 13, 2022
- Last updated
- Jan 13, 2022
- Sex
- Male
- 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-20-144105 | TX | Primary |
Addresses
Primary practice location
2105 E Park St
Cedar Park, TX 78613-4598
Mailing address
2105 E Park St
Cedar Park, TX 78613-4598
Phone (512) 588-1362
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 |
|---|---|---|---|
| RBT-20-144105 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edl LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1306597083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E PARK ST",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134598",
"telephone_number": "512-588-1362",
"fax_number": "512-792-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E PARK ST",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134598",
"telephone_number": "512-588-1362",
"fax_number": "512-792-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "NEHEMIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-13",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-20-144105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.