Active NPI
Jaya Misra
- Behavior Analyst
- Bee Cave, TX
National Provider Identifier
1316554603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4041
- Practice address
- 3944 RR 620 S Ste 201
Bee Cave, TX 78738-7166 - Phone
- (512) 772-4042
- NPI assigned
- Sep 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-77958 | TX | |
| Behavior Analyst | 103K00000X | 4041 | TX | Primary |
Addresses
Primary practice location
3944 RR 620 S Ste 201
Bee Cave, TX 78738-7166
Mailing address
12600 Hill Country Blvd Ste R-100
Bee Cave, TX 78738-6748
Phone (512) 772-4042
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 |
|---|---|---|---|
| 4041 | TX | MD | Behavioral Analyst |
| RBT-19-77958 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1316554603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 HILL COUNTRY BLVD STE R-100",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386748",
"telephone_number": "512-772-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3944 RR 620 S STE 201",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787387166",
"telephone_number": "512-772-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISRA",
"first_name": "JAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-19-77958",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "4041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bee Cave, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.