Active NPI
Mariela Castro Hostetler, M.S. BCBA
- Behavior Analyst
- Reno, NV
National Provider Identifier
1346786084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24666
- Practice address
- 2450 Seneca Dr
Reno, NV 89506-9111 - Phone
- (702) 336-8501
- NPI assigned
- Jan 18, 2017
- 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 Analyst | 103K00000X | 1-16-24666 | NV | Primary |
| Behavior Analyst | 103K00000X | LBA0124 | NV |
Addresses
Primary practice location
2450 Seneca Dr
Reno, NV 89506-9111
Mailing address
2450 Seneca Dr
Reno, NV 89506-9111
Phone (702) 336-8501
Other practice location 1
401 W 2nd St
Warren Nelson Building
Reno, NV 89503-5345
Phone (775) 391-0749
Other practice location 2
401 W 2nd St
Warren Nelson Building
Reno, NV 89503
Phone (775) 391-0749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346786084 | Medicaid | NV |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA0124 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1346786084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 SENECA DR",
"city": "RENO",
"state": "NV",
"postal_code": "895069111",
"telephone_number": "702-336-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 SENECA DR",
"city": "RENO",
"state": "NV",
"postal_code": "895069111",
"telephone_number": "702-336-8501"
}
],
"practiceLocations": [
{
"address_1": "401 W 2nd St",
"address_2": "Warren Nelson Building",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895035345",
"country_code": "US",
"telephone_number": "775-391-0749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 W 2nd St",
"address_2": "Warren Nelson Building",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "89503",
"country_code": "US",
"telephone_number": "775-391-0749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOSTETLER",
"first_name": "MARIELA",
"middle_name": "CASTRO",
"credential": "M.S. BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "1-16-24666",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "LBA0124",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346786084",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.