Active NPI
Hallie Rachel Fonseca, BCBA
- Behavior Analyst
- Buda, TX
National Provider Identifier
1508500604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-74089
- Practice address
- 120 Precision # A100A300
Buda, TX 78610-5925 - Phone
- (512) 354-4300
- NPI assigned
- Apr 25, 2022
- 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 | 1-24-74089 | TX | Primary |
Addresses
Primary practice location
120 Precision # A100A300
Buda, TX 78610-5925
Mailing address
9901 N Capital of Texas Hwy Ste 250
Austin, TX 78759-5977
Phone (512) 887-2126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12474089 | Other | TX | BOARD CERTIFIED BEHAVIOR ANALYST |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Leap 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.
-
- Behavior Analyst
- Austin, TX
- NPI 1659670842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1508500604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 N CAPITAL OF TEXAS HWY STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595977",
"telephone_number": "512-887-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PRECISION # A100A300",
"city": "BUDA",
"state": "TX",
"postal_code": "786105925",
"telephone_number": "512-354-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "HALLIE",
"middle_name": "RACHEL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-24-74089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
"identifier": "12474089",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.