Nicolis Kristian Cantu, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23257518 Issued in TX

Practice address

207 Elmhurst
Kyle, TX 78640-5981

Phone

(210) 367-0647

NPI assigned

Nov 16, 2023

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1538934815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N INTERSTATE 35 APT 333A",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666574",
            "telephone_number": "210-367-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELMHURST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405981",
            "telephone_number": "210-367-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "NICOLIS",
        "middle_name": "KRISTIAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "23257518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Shane Camp, M.D.
• Mitra Margaret Campbell, D.O.
• Mariah Ashley Cano
• Christina Marie Cantu
• Marissa Leah Cantu
• Crystal Marie Cardenas, RN
• Cardiovascular Specialists of Texas, P.a.
• Gay Lynne Carson, MSN, APRN, FNP-C
• Lilian De Mello Carter
• Amy L Castillo, M.S., CCC-SLP

• Behavior Technician in Kyle, TX
• Providers in Kyle, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.