Individual provider Active NPI

Brianna Cervantes

  • Behavior Analyst
  • Trophy Club, TX
National Provider Identifier
1437519030
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2600 Bobcat Blvd Ste 200
Trophy Club, TX 76262-5132
Phone
(940) 255-6964
Fax
(844) 685-8586
NPI assigned
Feb 25, 2016
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2600 Bobcat Blvd Ste 200
Trophy Club, TX 76262-5132

Mailing address

830 Parker SQ
Flower Mound, TX 75028-7429
Phone (940) 255-6964

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL abc-pediatrics.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Balance LLC Behavior Analyst CurrentSince Jun 21, 2020 Accepting new patients
Achievement, Balance, Community, Pediatrics Behavior Analyst PastSince Jun 21, 2020 Accepting new patients
Achievement Balance Community LLC Behavior Analyst PastSince Jun 21, 2020 Accepting new patients
Achieve Beyond of Texas, LLC Behavior Analyst Past Accepting new patients

Locations

2600 Bobcat Blvd
Ste 200
Trophy Club, TX 76262
Phone (940) 255-6964

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1437519030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PARKER SQ",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287429",
            "telephone_number": "940-255-6964",
            "fax_number": "844-685-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BOBCAT BLVD STE 200",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625132",
            "telephone_number": "940-255-6964",
            "fax_number": "844-685-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "abc-pediatrics.com",
            "affiliation": "N",
            "address_1": "2600 Bobcat Blvd Ste 200",
            "city": "Trophy Club",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762625132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.