Individual provider Active NPI

Deondra Denise Brown, RBT

  • Behavior Technician
  • San Antonio, TX
National Provider Identifier
1326715525
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-182094 Issued in TX
Practice address
1938 E Sonterra Blvd Apt 1268
San Antonio, TX 78259-7659
Phone
(626) 616-4258
NPI assigned
Aug 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-182094 TX Primary

Addresses

Primary practice location

1938 E Sonterra Blvd Apt 1268
San Antonio, TX 78259-7659

Mailing address

21727 W Interstate 10 Ste 108
San Antonio, TX 78257-2108
Phone (210) 455-1091

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-182094OtherTXCOMMERCIAL INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ehr Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
RBT-21-182094TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1326715525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 W INTERSTATE 10 STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572108",
            "telephone_number": "210-455-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E SONTERRA BLVD APT 1268",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597659",
            "telephone_number": "626-616-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEONDRA",
        "middle_name": "DENISE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-21-182094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "RBT-21-182094",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "endpointDescription": "electronic health record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOAP notes",
            "address_1": "21727 W Interstate 10 Ste 108",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782572108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.