Individual provider Active NPI

Mariela Castro Hostetler, M.S. BCBA

  • Behavior Analyst
  • Reno, NV
National Provider Identifier
1346786084
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-24666 Issued in NV
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

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1346786084MedicaidNV

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

LicenseStateTypeSpecialty
LBA0124NVMDBehavioral 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.

Verify at the official NPI Registry.