Individual provider Active NPI

Jesus Angel Monjaraz, BEHAVIOR THERAPIST

  • Behavior Technician
  • Richmond, TX
National Provider Identifier
1417607987
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
11135 Harlem Rd Ste 250
Richmond, TX 77406-3657
Phone
(855) 782-7822
NPI assigned
Mar 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 TX Primary

Addresses

Primary practice location

11135 Harlem Rd Ste 250
Richmond, TX 77406-3657

Mailing address

19142 Mission Manor LN
Richmond, TX 77407-3639
Phone (281) 229-0485

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://centralreach.com Other

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

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1417607987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19142 MISSION MANOR LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073639",
            "telephone_number": "281-229-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 HARLEM RD STE 250",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063657",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONJARAZ",
        "first_name": "JESUS",
        "middle_name": "ANGEL",
        "credential": "BEHAVIOR THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://centralreach.com",
            "affiliation": "N",
            "endpointDescription": "Software",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Data",
            "address_1": "11135 Harlem Rd Ste 250",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774063657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.