Individual provider Active NPI

Tricia Victoria Ebron Espiritu, BCBA

  • Behavior Analyst
  • Round Rock, TX
National Provider Identifier
1477104263
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37745 Issued in TX
Practice address
1516 E Palm Valley Blvd Ste C
Round Rock, TX 78664-4619
Phone
(512) 733-2800
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 1-19-37745 TX Primary

Addresses

Primary practice location

1516 E Palm Valley Blvd Ste C
Round Rock, TX 78664-4619

Mailing address

1516 E Palm Valley Blvd Ste C
Round Rock, TX 78664-4619
Phone (512) 733-2800

Other identifiers 1

IdentifierTypeStateIssuer
1-19-37745OtherTXNOT A MEDICARE PROVIDER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tespiritu@cactexas.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
Center for Autism & Behavior Analysis, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1477104263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD STE C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD STE C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-733-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPIRITU",
        "first_name": "TRICIA VICTORIA",
        "middle_name": "EBRON",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-19-37745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT A MEDICARE PROVIDER",
            "identifier": "1-19-37745",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tespiritu@cactexas.com",
            "affiliation": "N",
            "address_1": "1516 E Palm Valley Blvd Ste C",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786644619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.