Active NPI
Rebecca D Coleman, M.A., CCC-SLP, BCBA,
- Behavior Analyst
- Schertz, TX
National Provider Identifier
1356650014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3 Commercial PL
Schertz, TX 78154-3102 - Phone
- (210) 858-9062
- NPI assigned
- Sep 29, 2010
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106306 | TX | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3 Commercial PL
Schertz, TX 78154-3102
Mailing address
7608 Narrow Pass St
Live Oak, TX 78233-3019
Phone (408) 838-5718
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106306 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1356650014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7608 NARROW PASS ST",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333019",
"telephone_number": "408-838-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COMMERCIAL PL",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781543102",
"telephone_number": "210-858-9062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "REBECCA",
"middle_name": "D",
"name_prefix": "Miss",
"credential": "M.A., CCC-SLP, BCBA,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2021-05-13",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106306",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.