Individual provider Active NPI

Kendall Dianne Caya, RBT

  • Behavior Technician
  • San Antonio, TX
National Provider Identifier
1376263145
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-232765 Issued in TX
Practice address
1020 Central Pkwy S
San Antonio, TX 78232-5021
Phone
(210) 798-2273
Fax
(210) 495-1479
NPI assigned
Aug 31, 2022
Reactivated
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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-22-232765 TX Primary

Addresses

Primary practice location

1020 Central Pkwy S
San Antonio, TX 78232-5021

Mailing address

4 Grogans Mill Dr
San Antonio, TX 78248-2416
Phone (210) 394-2353

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-22-232765TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1376263145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GROGANS MILL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482416",
            "telephone_number": "210-394-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-798-2273",
            "fax_number": "210-495-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYA",
        "first_name": "KENDALL",
        "middle_name": "DIANNE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "deactivation_date": "2022-08-31",
        "reactivation_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-22-232765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 16, 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.