Acacia Tarver, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-94201 Issued in TX

Practice address

2825 W Town Center Cir
Kingwood, TX 77339-3734

Phone

(291) 570-2420

NPI assigned

Mar 29, 2020

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

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1407484124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 W TOWN CENTER CIR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393734",
            "telephone_number": "291-570-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 W TOWN CENTER CIR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393734",
            "telephone_number": "291-570-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVER",
        "first_name": "ACACIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-94201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kingwood@bluesprigpediatrics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2825 W Town Center Cir",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773393734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrienne Elisabeth Tallina, PA-C
• Jesus Oldbury Tamayo, DO
• Hilary Tandy, DDS
• Peng Tang, DO
• William Tao
• Mary Tarver, RBT
• Suhas V.V. Tatapudi, DO
• Donald L. Tate
• Sudha Tayi, M.D.
• Taylor Family Practice, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.