Rachel Davis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-228391 Issued in TX

Practice address

101 Pine View Dr
Boerne, TX 78006-8842

Phone

(830) 816-5510

Fax

(855) 421-1717

NPI assigned

Jul 12, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindscapes Behavioral Health

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1619472669
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1386378875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PINE VIEW DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068842",
            "telephone_number": "830-816-5510",
            "fax_number": "855-421-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PINE VIEW DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068842",
            "telephone_number": "830-816-5510",
            "fax_number": "855-421-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-22-228391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mindscapesbehavioralhealth.com",
            "affiliation": "N",
            "address_1": "101 Pine View Dr",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780068842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aditya Dave
• Peggy Davenport-Mendoza
• David Fuentes MD PA (Allergy & Asthma Center of Boerne)
• David J Katrana DDS,MD,PA
• Delana Rondrici Davis, LCSW
• Eric Randell Day, A.T.C., L.A.T.
• Morgan Lee Day
• Giancarlo De Jesus, PT
• Avery Kristie De la Pena, MSOT, OTR
• Ricardo De la Pena, RBT

• Behavior Technician in Boerne, TX
• Providers in Boerne, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.