Individual provider Active NPI

Colene Rector, RBT

  • Behavior Technician
  • Austin, TX
National Provider Identifier
1558080614
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-10895 Issued in TX
Practice address
2517 Enfield Rd
Austin, TX 78703-3715
Phone
(512) 900-1425
Fax
(866) 302-4553
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-10895 TX Primary

Addresses

Primary practice location

2517 Enfield Rd
Austin, TX 78703-3715

Mailing address

2517 Enfield Rd
Austin, TX 78703-3715
Phone (512) 900-1425

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

State licenses

LicenseStateTypeSpecialty
RBT-22-10895TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
SPRK LLC CurrentSince Aug 28, 2022 Accepting new patients
Spark Learning LLC PastSince Aug 28, 2022 Accepting new patients

Locations

2517 Enfield Rd
Austin, TX 78703
Phone (512) 900-1425

Organizations & group practices 2

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1558080614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 ENFIELD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033715",
            "telephone_number": "512-900-1425",
            "fax_number": "866-302-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 ENFIELD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033715",
            "telephone_number": "512-900-1425",
            "fax_number": "866-302-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECTOR",
        "first_name": "COLENE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-22-10895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.