Individual provider Active NPI

Raahat Siddiqui

  • Behavior Analyst
  • Mesquite, TX
National Provider Identifier
1457713562
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-59383 Issued in CA
Practice address
1675 Republic Pkwy Ste 104
Mesquite, TX 75150-6902
Phone
(214) 817-2457
Fax
(214) 393-5875
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-16-6975 CA
Behavior Analyst 103K00000X 1-22-59383 CA Primary

Addresses

Primary practice location

1675 Republic Pkwy Ste 104
Mesquite, TX 75150-6902

Mailing address

816 Tulip CT
Forney, TX 75126-2743
Phone (714) 723-1680

Other practice location 1

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 320-3222

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
ABA Vibe LTD. Company Behavior Analyst Past Accepting new patients
Holding Hands Opco LLC Behavior Analyst Past Accepting new patients
Holding Hands, Inc. Past Accepting new patients
Junior Boom ABA LLC Behavior Analyst Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1457713562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 TULIP CT",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751262743",
            "telephone_number": "714-723-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY STE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "214-817-2457",
            "fax_number": "214-393-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N Saint Paul St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752013923",
            "country_code": "US",
            "telephone_number": "888-320-3222",
            "fax_number": "347-402-2106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "RAAHAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "0-16-6975",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-59383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.