Individual provider Active NPI

Daisy Rendon, BCBA

  • Behavior Analyst
  • Helotes, TX
National Provider Identifier
1346873155
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5577 Issued in TX
Practice address
11844 Bandera Rd # 201
Helotes, TX 78023-4132
Phone
(210) 319-9807
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 5577 TX Primary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X 2779 TX

Addresses

Primary practice location

11844 Bandera Rd # 201
Helotes, TX 78023-4132

Mailing address

10626 Leopard Path
San Antonio, TX 78251-4011

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address daisypaz@vabastx.com Direct
Direct Messaging Address daisypaz@vabastx.com Direct

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
2779TXMDAddiction (Substance Use Disorder) Counselor
5577TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1346873155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10626 LEOPARD PATH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11844 BANDERA RD # 201",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234132",
            "telephone_number": "210-319-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON",
        "first_name": "DAISY",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5577",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "TX",
            "license": "2779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daisypaz@vabastx.com",
            "affiliation": "N",
            "endpointDescription": "Vabas",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Message",
            "address_1": "11844 Bandera Rd # 201",
            "city": "Helotes",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780234132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daisypaz@vabastx.com",
            "affiliation": "N",
            "endpointDescription": "VABAS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11844 Bandera Rd # 201",
            "city": "Helotes",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780234132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.