Active NPI
Mihaela Akinwande
- Behavior Technician
- Georgetown, TX
National Provider Identifier
1316508484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-88356
- Practice address
- 4402 Williams Dr
Georgetown, TX 78628-1300 - Phone
- (254) 449-1405
- NPI assigned
- Jun 27, 2019
- Last updated
- Jun 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-88356 | TX | Primary |
Addresses
Primary practice location
4402 Williams Dr
Georgetown, TX 78628-1300
Mailing address
400 Nola Ruth Blvd
Harker Heights, TX 76548-1549
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-19-88356 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevor's Place 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": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1316508484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 NOLA RUTH BLVD",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765481549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 WILLIAMS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786281300",
"telephone_number": "254-449-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINWANDE",
"first_name": "MIHAELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-19-88356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
- Ageless Men's Health Holdings, Inc (Ageless Men's Health)
- Agilitas USA Inc. (Results Physiotherapy)
- Bolivar Aguirre, LCSW
- Vanessa Aguirre, LPC-A
- Ridwana Binte Ahsan
- Mohammad Al Darawsha, MD
- Zayd Luay Abdullah Al-Nouri, MD
- Albert H. Bartschmid, Mdpa
- Albertsons LLC (Albertsons Savon Pharmacy)
- Eden Alcoseba
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.