Camila Matte Trevizan, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB997469 Issued in TX

Practice address

11623 Angus Rd # E20
Austin, TX 78759-4003

Phone

(512) 827-7011

NPI assigned

May 21, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1396584371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 ARENDALE DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415128",
            "telephone_number": "734-329-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 ANGUS RD # E20",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594003",
            "telephone_number": "512-827-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVIZAN",
        "first_name": "CAMILA",
        "middle_name": "MATTE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "BACB997469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11623 Angus Rd # E20",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787594003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Sofia Trevino, MA, PHD
• Rebekah Trevino, LMSW
• Sinah Karime Trevino, LMFT-A
• Tristen Trevino, ATC
• Yadira Enid Trevino, M.S., SLP
• Elvia Trevizo-Delgado, LPC-ASSOCIATE
• Thomas J Trevorah, CRNA
• Mary 'Molly' Mooney Trexler, APRN, CPNP-AC/PC
• Sandra K. Treybig, M.D.
• TRG Dental Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.