Active NPI
Elyse Deleon, BCBA
- Behavior Analyst
- Kyle, TX
National Provider Identifier
1477032159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54435
- Practice address
- 4460 Farm to Market 1626
Suite 300
Kyle, TX 78640-5823 - Phone
- (512) 354-4300
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-54435 | TX | Primary |
Addresses
Primary practice location
4460 Farm to Market 1626
Suite 300
Kyle, TX 78640-5823
Mailing address
338 Oxford Dr
Kyle, TX 78640-5795
Phone (903) 431-9283
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": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1477032159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 OXFORD DR",
"city": "KYLE",
"state": "TX",
"postal_code": "786405795",
"telephone_number": "903-431-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 FARM TO MARKET 1626",
"address_2": "SUITE 300",
"city": "KYLE",
"state": "TX",
"postal_code": "786405823",
"telephone_number": "512-354-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "ELYSE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2022-04-21",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-21-54435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.