Active NPI
Marilyn Rivera Carrasco
- Behavior Technician
- Austin, TX
National Provider Identifier
1487317277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3300 N Interstate 35 Ste 700
Austin, TX 78705-1874 - Phone
- (844) 362-7943
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
3300 N Interstate 35 Ste 700
Austin, TX 78705-1874
Mailing address
3300 N Interstate 35 Ste 700
Austin, TX 78705-1874
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Riveramarilyn228@gmail.con |
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": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1487317277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N INTERSTATE 35 STE 700",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N INTERSTATE 35 STE 700",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051874",
"telephone_number": "844-362-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA CARRASCO",
"first_name": "MARILYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Riveramarilyn228@gmail.con",
"affiliation": "N",
"address_1": "710 Fm 1209",
"city": "Bastrop",
"state": "TX",
"country_code": "US",
"postal_code": "786023113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
- River Rock -Mueller PC (River Rock Dental - Mueller)
- River Rock Dental - Lamar PC (River Rock Dental - Lamar)
- River Rock Dental, P.C. (River Rock Dental)
- River Rock Pediatric Dentistry, PC
- Hilary Rivera Alvarado
- Alma Rosa Rivera Feregrino, MD, MPH
- Laura Rivera Martin, FNP
- Yessica Lizbeth Rivera Trujillo
- Amanda Christine Rivera-Begeman, D.O.
- Alicia Rivera-Clemente
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.